湖北省2013年城乡居民血脂异常患病率及血脂水平和比值分布特征比较

发布时间：2018-04-13 06:16

本文选题：血脂水平 + 比值　；参考：《中国公共卫生》2017年10期

【摘要】：目的了解湖北省2013年城乡居民血脂异常患病率及血脂水平和比值分布特征差异,为血脂异常的防制工作提供科学依据。方法于2013年7—10月采用多阶段整群随机抽样方法,在湖北省疾病监测点系统覆盖的10个县(市、区)抽取5 926名≥18周岁城乡居民进行问卷调查和实验室检测。利用SAS 9.2基于设计的复杂抽样模块进行统计分析。结果经复杂加权计算后,湖北省2013年城乡居民血脂异常患病率为32.7%,其中高总胆固醇(TC)血症、高甘油三酯(TG)血症、高低密度脂蛋白胆固醇(LDL-C)血症和低高密度脂蛋白胆固醇(HDL-C)血症患病率分别为4.5%、12.3%、5.8%和21.6%。2013年湖北省城乡居民血清中TC、TG、LDL-C、HDL-C和非高密度脂蛋白胆固醇(non-HDL-C)的水平分别为(4.55±0.09)、(1.44±0.05)、(2.76±0.07)、(1.35±0.04)和(3.20±0.07)mmol/L。不同地区居民比较,城市居民TG水平[(1.57±0.06)mmol/L]高于农村居民[(1.26±0.03)mmol/L],HDL-C水平[(1.28±0.02)mmol/L]低于农村居民[(1.46±0.06)mmol/L],差异均有统计学意义(均P0.01);城市不同性别居民比较,男性居民TG和non-HDL-C水平[(1.82±0.09)和(3.34±0.07)mmol/L]均高于女性居民[(1.30±0.04)和(3.11±0.06)mmol/L],HDL-C水平[(1.21±0.02)mmol/L]低于女性居民[(1.35±0.03)mmol/L],差异均有统计学意义(均P0.01);农村不同性别居民比较,男性居民HDL-C水平[(1.41±0.05)mmol/L]低于女性居民[(1.51±0.07)mmol/L],差异有统计学意义(P0.01)。血脂比值TC/HDL-C、LDL-C/HDL-C、non-HDLC/HDL-C和TG/HDL-C分别为3.67、2.20、2.67和1.45;其中,男性居民分别为3.93、2.33、2.93和1.81,均高于女性居民的3.41、2.07、2.41和1.08,城市居民分别为3.85、2.29、2.85和1.69,均高于农村居民的3.39、2.07、2.39和1.07,差异均有统计学意义(均P0.01)。结论湖北省城乡居民血脂异常率较高;城市居民TG水平高于农村居民,HDL-C水平低于农村居民;各项血脂比值男性均高于女性,城市居民均高于农村居民。
[Abstract]:Objective to investigate the prevalence of dyslipidemia and the distribution characteristics of lipid levels and ratios in urban and rural residents in Hubei Province in 2013, and to provide scientific basis for the prevention and control of dyslipidemia.Methods from July to October 2013, 5,926 urban and rural residents aged more than 18 years old were selected from 10 counties (cities and districts) in Hubei Province and investigated by questionnaire and laboratory tests.The complex sampling module based on SAS 9.2 is used for statistical analysis.Results the prevalence rate of dyslipidemia in urban and rural residents in Hubei Province in 2013 was 32.7after complicated weighted calculation, including hypercholesterolemia and hypertriglyceridemia.The TG level of urban residents [1.57 卤0.06)mmol/L] was higher than that of rural residents [1.26 卤0.03)mmol/L] and HDL-C [1.28 卤0.02)mmol/L] was lower than that of rural residents [1.46 卤0.06)mmol/L].The levels of TG and non-HDL-C [1.82 卤0.09) and 3.34 卤0.07)mmol/L] in male residents were higher than those in female residents [1.30 卤0.04) and 3.11 卤0.06)mmol/L], and the levels of HDL-C [1.21 卤0.02)mmol/L] were significantly lower than those of female residents [1.35 卤0.03)mmol/L].The level of HDL-C in male residents [1.41 卤0.05)mmol/L] was lower than that in female residents [1.51 卤0.07)mmol/L], and the difference was statistically significant (P 0.01).Conclusion the abnormal rate of serum lipids in urban and rural residents in Hubei Province is higher than that in rural residents, the level of TG in urban residents is higher than that in rural residents, and the ratio of serum lipids in males is higher than that in females, and in urban residents is higher than that in rural residents.
【作者单位】：湖北省疾病预防控制中心慢性病预防控制所;
【分类号】：R181.3;R589.2

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