吉林省社区成人糖尿病患者血脂异常现况分析

发布时间：2018-08-12 17:54

【摘要】：目的了解吉林省社区糖尿病患者血脂异常的特征,为糖尿病患者血脂异常的管理提供依据。方法基于2012年吉林省成人慢性病患病率及危险因素调查,采用多阶段分层随机整群抽样方法,对其中检出的1825名糖尿病患者进行问卷调查(年龄、性别、近一年慢性病患病情况)、血生化指标检测(血糖、总胆固醇、甘油三酯、高密度脂蛋白和低密度脂蛋白)及身体测量(身高和体重)。结果糖尿病患者共1825人,其中男性883人(48.4%),女性942人(51.6%),平均年龄为(55.73±10.27)岁。TG、TC、LDL-C和HDL-C的平均水平分别为2.17、5.17、3.10和1.20mmol/L,女性患者TC、LDL-C和HDL-C水平均高于男性(P0.001)。血脂异常率为66.9%(男性为69.0%,女性为65.0%)。男性血脂异常率随年龄的增加而降低(P0.001),女性随年龄增长而升高(P0.001)。18岁~、35岁~、45岁~年龄组男性血脂异常率高于女性(P0.05、P0.001、P0.001),而55岁~、65~79岁则低于女性(P0.05);超重(71.8%)及肥胖(75.8%)者血脂异常率高于BMI正常者(55.2%)(P0.001)。TG、TC、LDL-C及HDL-C异常率分别为47.8%、19.2%、14.5%和29.2%;糖尿病患者中27.1%为二项血脂指标异常,17.4%为TG升高合并HDL-C降低,其次15.9%为单纯TG升高。结论吉林省社区糖尿病患者的TC、TG及LDL-C平均水平均高于一般人群,18~54岁男性、55岁及以上女性与超重或肥胖的糖尿病患者的血脂异常率较高,血脂异常以混合型为主,TG升高合并HDL-C降低较多。
[Abstract]:Objective to investigate the characteristics of diabetic dyslipidemia in community in Jilin province, and to provide evidence for the management of diabetic dyslipidemia. Methods based on the investigation of prevalence and risk factors of adult chronic diseases in Jilin Province in 2012, 1825 diabetes patients (age, sex) were investigated by multi-stage stratified random cluster sampling. In recent years, chronic disease), blood biochemical indicators (blood glucose, total cholesterol, triglyceride, high density lipoprotein and low density lipoprotein) and body measurements (height and weight). Results there were 1825 patients with diabetes mellitus, including 883 males (48.4%) and 942 females (51.6%). The average age was (55.73 卤10.27) years old. The average levels of LDL-C and HDL-C were 2.175.173.10 and 1.20 mmol / L, respectively. The levels of TCLDL-C and HDL-C in female patients were higher than those in males (P0.001). The dyslipidemia rate was 66.9% (69.0% in males and 65.0% in females). The rate of dyslipidemia in males decreased with age (P0.001), and increased in females with age (P0.001). The rate of dyslipidemia in males aged from 35 to 35 years of age was higher than that in females (P0.05%, P0.001p0.001), while the rate of dyslipidemia in men aged 55 years was lower than that in females (P0.05), and that in overweight (71.8%) and obese (75.8%) patients was higher than that in females (P0.05%, P0.001p0.001), and that in women aged 55 years (71.8%) and obesity (75.8%). The abnormal rates of HDL-C and LDL-C were 47.819. 2% and 29. 2% respectively in patients with normal BMI (P 0. 001) (P 0. 001). The abnormal rates of TGP LDL-C and HDL-C in patients with diabetes mellitus were 14. 5% and 29. 2% respectively, and 27. 1% were abnormal blood lipids in patients with diabetes mellitus, 17. 4% were abnormal blood lipids, and 17. 4% of patients with diabetes mellitus had increased TG and decreased HDL-C. TG was increased in 15.9%. Conclusion the average levels of TCTG and LDL-C in community diabetes patients in Jilin Province are higher than those in the normal population. The abnormal rate of serum lipids in men aged 55 and above and overweight or obese diabetic patients is higher than that in the general population. The hyperlipidemia was mainly composed of mixed TG and decreased HDL-C.
【作者单位】：吉林大学公共卫生学院流行病与卫生统计学教研室;
【基金】：吉林省卫生厅科研基金(No.2011Z116)
【分类号】：R587.1;R181.37

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