【摘要】 目的调查泸州市40岁以上社区居民脂质代谢紊乱患病现况。方法于2011年5—11月,采用多级整群随机抽样法抽取泸州市5个社区中40岁以上社区居民10 150例作为调查对象,采用调查问卷采集被调查者相关信息,包括人口学特征、主要慢性疾病病史、生活方式、饮食习惯等;体格检查包括身高、体质量、血压、体质指数(BMI)等;实验室检查包括空腹血糖(FPG)、糖化血红蛋白(Hb A1c)、血脂四项〔三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)〕。分析泸州市40岁以上社区居民脂质代谢紊乱患病情况,比较不同临床特征社区居民脂质代谢紊乱患病情况。结果本调查共发放问卷10 150份,回收有效问卷9 840份,回收率为96.9%;泸州市40岁以上社区居民脂质代谢紊乱患病率为63.5%(6 252/9 840)。不同性别、年龄段、BMI、血压、血糖、Hb A1c水平社区居民脂质代谢紊乱患病率比较,差异有统计学意义(P<0.05)。男性脂质代谢紊乱患病率高于女性(P<0.05);40~49岁男性脂质代谢紊乱患病率高于女性(P<0.05);50~59岁、60~69岁、70~79岁、≥80岁男性与女性脂质代谢紊乱患病率比较,差异无统计学意义(P>0.05)。结论泸州市40岁以上社区居民脂质代谢紊乱患病率较高,不同性别及年龄段社区居民脂质代谢紊乱患病率间有一定差异,需加强社区高危人群筛查,以便进行早期干预。更多还原

【Abstract】 Objective To investigate the prevalence of lipid metabolism disorders in community residents over 40 years old in Luzhou. Methods From May to November in 2011 in Luzhou,a total of 10 150 community residents over 40 years old were enrolled in five communities by multi- stage cluster random sampling method,questionnaire was used to collect relevant information,including demographic characteristics, major history of chronic diseases, lifestyles, dietary habits, physical examination results( including height, weight, blood pressure and BMI), laboratory examination results( including FPG,Hb A1 c,TG,TC,LDL-C and HDL-C). The prevalence of lipid metabolism disorders in community residents over 40 years old in Luzhou was analyzed,and the prevalence of lipid metabolism disorders was compared in community residents with different clinical features. Results The recovery percent of questionnaires was 96. 9%( 9 840 /10 150); the prevalence rate of lipid metabolism disorders in community residents over 40 years old in Luzhou was 63. 5%( 6 252 /9 840). There were statistically significant differences of prevalence rate in community residents with different gender,with different age- groups,with different BMI,with different blood pressure,with different blood glucose,with different Hb A1clevels( P < 0. 05). The prevalence rate of lipid metabolism disorders of male community residents was statistically significantly higher than that of female community residents( P < 0. 05); the prevalence rate of lipid metabolism disorders of male community residents between 40 and 49 years old was statistically significantly higher than even- aged female community residents( P < 0. 05),while no statistically significant differences of prevalence rate of lipid metabolism disorders was found between male community residents and female community residents in 50 to 59 years old age- group,60 to 69 years old age- group,70 to 79 years old age- group,≥80 years old age-group( P > 0. 05). Conclusion The prevalence rate of lipid metabolism disorders is relatively high in community residents over40 years old in Luzhou,and there are some differences in community residents with different gender,with different age- groups;we should strengthen the high- risk mass screening and take multiple measures for early intervention.更多还原