石河子中小学生血脂异常患病率及危险因素分析

发布时间：2018-06-18 15:44

本文选题：血脂异常 + 患病率　；参考：《中国学校卫生》2017年06期

【摘要】：目的了解石河子地区在校中小学生血脂异常患病情况及其危险因素,为青少年血脂异常的防控提供科学依据。方法采用分层随机整群抽样的方法调查石河子市12所学校1 764名在校中小学生,对其进行问卷调查、体格检查和实验室检查,分析其血脂异常流行病学特征及危险因素。结果石河子地区在校学生血脂异常总患病率为13.04%;高三酰甘油(TG)血症、高总胆固醇(TC)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5.67%,8.73%,5.78%,10.32%。男生血脂异常患病率(14.29%)高于女生(11.75%)(χ~2=2.498,P=0.114)。多因素Logistic回归分析显示,年龄(OR=1.204,95%CI=1.011~1.433,P=0.037)、肥胖(OR=1.723,95%CI=1.205~2.465,P=0.003)和高脂饮食(OR=1.535,95%CI=1.073~2.196,P=0.019)是血脂异常的危险因素。结论石河子在校中小学生血脂异常患病率较高且以低HDL-C血症为主,年龄、肥胖和高脂饮食是血脂异常的危险因素。
[Abstract]:Objective to investigate the prevalence and risk factors of dyslipidemia among primary and middle school students in Shihezi area, and to provide scientific basis for prevention and control of juvenile dyslipidemia. Methods 1 764 primary and middle school students in 12 schools in Shihezi city were investigated by stratified random cluster sampling. The epidemiological characteristics and risk factors of dyslipidemia were analyzed by questionnaire, physical examination and laboratory examination. Results the total prevalence rate of dyslipidemia in students in Shihezi area was 13.040.The prevalence rates of TGemia, TCemia, LDL-C and HDL-Cm were 5.6778.735.78 and 10.322.Results the total prevalence of dyslipidemia in students in Shihezi area was 13.044.The prevalence rates of TGG, TC, LDL-Cand HDL-Cm were 5.677.8.73 and 5.78, respectively. The prevalence rate of dyslipidemia in boys (14.29) was higher than that in girls (2.498%, 0.114%). Multivariate logistic regression analysis showed that the risk factors of dyslipidemia were 1.204C95CI1.0111.433P0.037, obesity 1.72395CI1.2052.465P0.003) and high-fat diet 1.535C95CI1.0732.196P0.019). Conclusion the prevalence rate of dyslipidemia in primary and middle school students in Shihezi is high and low HDL-C is the main risk factor. Age, obesity and high fat diet are the risk factors of dyslipidemia.
【作者单位】：海南省三亚市中医院内分泌科;石河子市中医院心血管内科;石河子市人民医院院感科;
【分类号】：R589.2

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