中华糖尿病杂志
中華糖尿病雜誌
중화당뇨병잡지
CHINES JOURNAL OF DLABETES MELLITUS
2014年
2期
101-105
,共5页
畲族人群%血脂异常%患病率%危险因素
畬族人群%血脂異常%患病率%危險因素
여족인군%혈지이상%환병솔%위험인소
She ethnic minority%Dyslipidemia%Prevalence%Risk factors
目的 探讨中国福建省畲族人群的血脂异常患病率和流行病学特征.方法 2009年4月到9月在福建宁德地区福鼎市桐城街道、前歧镇和沙埕镇采用随机整群分层抽样方法随机抽取4 838名畲族人进入研究.测量身高、体重和血压,并测定血总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)和甘油三酯(TG).应用不同标准对受试者进行分组并使用x2检验和多因素logistic回归对血脂情况进行统计分析.结果 共有1 285名参与者血脂异常(患病率26.6%),其中高TC血症、高LDL-C血症、低HDL-C血症和高TG血症的患病率分别是10.1%(488/4 838)、12.6% (609/4 838)、5.2% (252/4 838)和11.4% (551/4 838);男女性血脂异常患病率为30.0% (617/2 057)和24.0% (667/2 781),差异具有统计学意义(x2=21.91,P<0.05).血脂异常的患病率随年龄增长的差异有统计学意义(x2=30.89,P<0.05),并且与性别、体质指数、空腹血糖、血压密切相关(OR=0.656、1.146、1.059、1.457,均P<0.05).结论 畲族人群的血脂异常患病率较高,有必要加强患者的管理,进行综合干预.
目的 探討中國福建省畬族人群的血脂異常患病率和流行病學特徵.方法 2009年4月到9月在福建寧德地區福鼎市桐城街道、前歧鎮和沙埕鎮採用隨機整群分層抽樣方法隨機抽取4 838名畬族人進入研究.測量身高、體重和血壓,併測定血總膽固醇(TC)、低密度脂蛋白膽固醇(LDL-C)、高密度脂蛋白膽固醇(HDL-C)和甘油三酯(TG).應用不同標準對受試者進行分組併使用x2檢驗和多因素logistic迴歸對血脂情況進行統計分析.結果 共有1 285名參與者血脂異常(患病率26.6%),其中高TC血癥、高LDL-C血癥、低HDL-C血癥和高TG血癥的患病率分彆是10.1%(488/4 838)、12.6% (609/4 838)、5.2% (252/4 838)和11.4% (551/4 838);男女性血脂異常患病率為30.0% (617/2 057)和24.0% (667/2 781),差異具有統計學意義(x2=21.91,P<0.05).血脂異常的患病率隨年齡增長的差異有統計學意義(x2=30.89,P<0.05),併且與性彆、體質指數、空腹血糖、血壓密切相關(OR=0.656、1.146、1.059、1.457,均P<0.05).結論 畬族人群的血脂異常患病率較高,有必要加彊患者的管理,進行綜閤榦預.
목적 탐토중국복건성여족인군적혈지이상환병솔화류행병학특정.방법 2009년4월도9월재복건저덕지구복정시동성가도、전기진화사정진채용수궤정군분층추양방법수궤추취4 838명여족인진입연구.측량신고、체중화혈압,병측정혈총담고순(TC)、저밀도지단백담고순(LDL-C)、고밀도지단백담고순(HDL-C)화감유삼지(TG).응용불동표준대수시자진행분조병사용x2검험화다인소logistic회귀대혈지정황진행통계분석.결과 공유1 285명삼여자혈지이상(환병솔26.6%),기중고TC혈증、고LDL-C혈증、저HDL-C혈증화고TG혈증적환병솔분별시10.1%(488/4 838)、12.6% (609/4 838)、5.2% (252/4 838)화11.4% (551/4 838);남녀성혈지이상환병솔위30.0% (617/2 057)화24.0% (667/2 781),차이구유통계학의의(x2=21.91,P<0.05).혈지이상적환병솔수년령증장적차이유통계학의의(x2=30.89,P<0.05),병차여성별、체질지수、공복혈당、혈압밀절상관(OR=0.656、1.146、1.059、1.457,균P<0.05).결론 여족인군적혈지이상환병솔교고,유필요가강환자적관리,진행종합간예.
Objective To investigate the prevalence of dyslipidemia and associated risk factors in adult She nationality population in Fujian Province.Methods Total of 4 838 adults selected from urban and rural areas of Ningde (Tongcheng Subdistrict in Fuding City,Qianqi Town,Shacheng Town),Fujian Province from April 2009 to September 2009 by multi-stage stratified sampling,completed the survey and physical measurements.The height,weight,blood pressure and serum total cholesterol,high-density lipoprotein cholesterol (HDL-C),low-density lipoprotein cholesterol (LDL-C),triglycerides were detected and analyzed by chi-square test and multivariate logistic regression analysis among the different groups.Results The overall prevalence of dyslipidemia was 26.6%,the prevalence of dyslipidemia was higher in males than that in females (30.0% (617/2 057) vs 24.0% (667/2 781),x2 =21.91,P <0.05) The prevalence of high total cholesterol (TC),high LDC-C,low HDL-C and hypertriglyceridemia were 10.1% (488/4 838),12.6% (609/4 838),5.2% (252/4 838) and 11.4% (551/4 838),respectively.The prevalence of dyslipidemia increased with age (x2 =30.89,P < 0.05) and was associated with sex,body mass index,fasting glucose and blood pressure (OR =0.656,1.146,1.059,1.457,respectively,all P < 0.05).Conclusion Dyslipidemia is a major public health problem in She population.Steps must be taken to prevent and treat dyslipidemia in She population.