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甘肃省成人血脂异常流行病学调查

发布时间:2018-10-15 06:57
【摘要】:目的:调查甘肃省成人(20-74岁)血脂异常的患病率和导致血脂异常的危险因素。方法:利用横断面的研究方法于2013年至2014年在甘肃省14市抽取符合要求(当地居住5年及以上)的调查对象共34792人,对所有被选中的调查对象均首先进行问卷调查,再进行体格检查及血生化检测,去除数据不完整或者未能完成整个过程的调查对象,最后有31417名研究对象完成调查过程且数据完整,可用于统计分析。结果:本次调查甘肃省年龄20-74岁之间成人血清TC、TG、HDL-C及LDL-C的平均水平分别为4.45±1.03mmol/L、1.74±1.12mmol/L、1.46±0.62mmol/L和2.61±0.81mmol/L。被调查人群血脂异常粗患病率为37.9%,经过年龄标准化之后患病率为36.8%。研究人群的高TC血症、高TG血症、低HDL-C血症和高LDL-C血症的患病率分别为6.1%、22.1%、19.8%和4.0%,标化之后各患病率分别为6.6%、20.3%、19.7%和3.6%。男性(43.8%)血脂异常患病率高于女性(33.2%)(P0.05),城市地区血脂异常患病率(40.6%)高于农村地区(34.8%)(P0.05)。不同民族之间血脂异常患病率不同,裕固族患病率最高(40.3%),藏族患病率最低(25.8%)。二元逻辑回归分析显示性别、年龄、超重、肥胖(BMI≥30kg/m2)、腹型肥胖、吸烟、血脂异常家族史、海拔、地域、高血压及糖尿病与血脂异常显著相关(P0.05)。结论:甘肃省成人血脂异常患病率较高,其主要类型为高TG血症和低HDL-C血症,需要采取积极地综合措施进行干预。
[Abstract]:Objective: to investigate the prevalence and risk factors of dyslipidemia in adults (20-74 years old) in Gansu province. Methods: a total of 34792 subjects were selected from 14 cities in Gansu province from 2013 to 2014 by cross-sectional study. All the selected subjects were investigated by questionnaire first. Then physical examination and blood biochemistry test were carried out to remove the incomplete data or the whole process. Finally, 31417 subjects completed the investigation process and the data were complete, which can be used for statistical analysis. Results: the average levels of serum TC,TG,HDL-C and LDL-C in adults aged 20-74 years were 4.45 卤1.03mmol / L 1.74 卤1.12mmol / L 1.46 卤0.62mmol/L and 2.61 卤0.81 mmol / L respectively. The crude prevalence rate of dyslipidemia was 37.9%, and the prevalence rate was 36.8% after age standardization. The prevalence rates of high TC, high TG, low HDL-C and hyperLDL-C in the study population were 6.1% and 4.0%, respectively. After standardization, the prevalence rates were 6.66% and 3.6%, respectively. The prevalence of dyslipidemia in males (43.8%) was higher than that in females (33.2%) (P0.05). The prevalence rate of dyslipidemia in urban areas (40.6%) was higher than that in rural areas (34.8%) (P0.05). The prevalence rate of dyslipidemia was the highest in Yugur nationality (40.3%) and the lowest in Tibetan nationality (25.8%). Binary logistic regression analysis showed that sex, age, overweight, obesity (BMI 鈮,

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