CAJ | 학술논문

目的：调查佛山市教师、警察、银行、公务员四种不同职业工作人员血脂水平，为不同职业人群预防心血管疾病提供依据。方法：选取2013年9~12月来我院健康体检教师、警察、银行、公务员四个职业工作人员1698例（男951例，女747例），采用罗氏P800全自动生化仪进行TC、TG、HDL-C、LDL-C检测，数据采用SPSS17.0进行分析，血脂异常水平判断标准参照我国“血脂异常防治建议”并参考美国“ATPⅢ指南”。结果：结果显示，警察TC、TG、LDL-C浓度最高，而HDL-C明显低于其余三个职业，与教师、银行职员、公务员进行比较，有统计学意义（P<0.05）。银行职员与公务员TC、TG、HDL-C、LDL-C进行比较，有统计学意义（P<0.05）；与教师LDL-C进行比较，有统计学意义（P<0.05）。教师与公务员TG、HDL-C进行比较，有统计学意义（P<0.05）。教师与公务员男性之间TC、HDL-C、LDL-C有统计学意义（P<0.05），女性之间TC、LDL-C有统计学意义（P<0.05）；教师与银行职员女性之间TC、LDL-C有统计学意义（P<0.05）；警察与公务员男性之间TC、HDL-C、LDL-C有统计学意义（P<0.05）；银行职员与公务员男性之间TC、LDL-C、HDL-C有统计学意义（P<0.05）。四种职业人群TC、TG、HDL-C、LDL-C异常总检出率分别为12%、11%、31%、14%。警察血脂异常检出率最高，TC、TG、HDL-C、LDL-C检出率分别为15%、19%、43%、16%。结论：警察血脂水平处于较高水平，明显增加了心血管疾病的发生，防治血脂异常有利于心血管疾病的预防。同时，不同职业人群由于工作环境、压力等原因血脂防治应制定不同的预防措施。
목적：조사불산시교사、경찰、은행、공무원사충불동직업공작인원혈지수평，위불동직업인군예방심혈관질병제공의거。방법：선취2013년9~12월래아원건강체검교사、경찰、은행、공무원사개직업공작인원1698례（남951례，녀747례），채용라씨P800전자동생화의진행TC、TG、HDL-C、LDL-C검측，수거채용SPSS17.0진행분석，혈지이상수평판단표준삼조아국“혈지이상방치건의”병삼고미국“ATPⅢ지남”。결과：결과현시，경찰TC、TG、LDL-C농도최고，이HDL-C명현저우기여삼개직업，여교사、은행직원、공무원진행비교，유통계학의의（P<0.05）。은행직원여공무원TC、TG、HDL-C、LDL-C진행비교，유통계학의의（P<0.05）；여교사LDL-C진행비교，유통계학의의（P<0.05）。교사여공무원TG、HDL-C진행비교，유통계학의의（P<0.05）。교사여공무원남성지간TC、HDL-C、LDL-C유통계학의의（P<0.05），녀성지간TC、LDL-C유통계학의의（P<0.05）；교사여은행직원녀성지간TC、LDL-C유통계학의의（P<0.05）；경찰여공무원남성지간TC、HDL-C、LDL-C유통계학의의（P<0.05）；은행직원여공무원남성지간TC、LDL-C、HDL-C유통계학의의（P<0.05）。사충직업인군TC、TG、HDL-C、LDL-C이상총검출솔분별위12%、11%、31%、14%。경찰혈지이상검출솔최고，TC、TG、HDL-C、LDL-C검출솔분별위15%、19%、43%、16%。결론：경찰혈지수평처우교고수평，명현증가료심혈관질병적발생，방치혈지이상유리우심혈관질병적예방。동시，불동직업인군유우공작배경、압력등원인혈지방치응제정불동적예방조시。
Objective:To investigate the lipid levels of four different occupational populations including teachers, police, Bank clerks and civil servants in FOSHAN, and provide the basis for different occupational population to prevent cardiovascular disease.Methods: We selected 1698 samples (male 951, female 747) from the health check-up of this four groups from September to December, 2013, focused on the results of the inspection items of TC, TG, HDL-C, LDL-C with Roche P800 automatic biochemistry analyzer. Data analysis used SPSS17.0, the judgment standards of abnormal blood lipid level referred to our country's " prevention and treatment of dyslipidemia suggestions " and "ATP Ⅲ guide" of the United States.Results:The results showed that the police had the highest concentration of TC, TG, LDL-C, and the HDL–C level was significantly lower than the three other groups, compared with teachers, bank clerks, civil servants, was statistically significant (P< 0.05). Bank clerks compared with civil servants, TC, TG, HDL-C, LDL-C, was statistically significant (P< 0.05); Compared with teachers, LDL-C was statistically significant (P< 0.05). Between teachers and civil servants, TG, HDL-C was statistically significant (P< 0.05). Especially, between teachers and civil servants, TC, HDL-C, LDL–C of male has statistical significance (P< 0.05), TC, LDL-C of female was statistically significant (P< 0.05); The compare between teachers and the bank clerks, TC, LDL-C of female was statistically significant (P< 0.05); Between the police and civil servants, TC, HDL-C, LDL-C of male was statistically significant (P< 0.05); Bank clerks and civil servants, TC, LDL-C, HDL-C of male was statistically significant (P< 0.05). The total detection rates of TC, TG, HDL-C, LDL-C anomaly of the four groups were 12%, 11%, 31% and 11% respectively. The police detection rate of dyslipidemia is the highest one, TC, TG, HDL-C, LDL-C were 15%, 19%, 15% and 19% respectively.Conclusions: The police lipid level was higher than other groups, it significantly increased the risk of cardiovascular disease, prevention and treatment of dyslipidemia was beneficial to the prevention of cardiovascular disease. At the same time, due to working environment, pressure and other reasons, different occupation's blood lipid control should have different prevention measures.