【摘要】 目的调查新疆汉、维、哈民族血脂水平,了解其血脂水平分布特点,分析其影响因素。方法采用整群随机抽样的方法,选取新疆乌鲁木齐市、呼图壁县、托里县、托克逊县、和田市、喀什市为调查点,收集年龄18~70岁的汉、维、哈居民共2 585人,测定血浆总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)浓度。结果 (1)所调查人群中共有1 474人符合血脂异常诊断。其中低高密度脂蛋白血症最多,占61.5%;其次是混合型血脂异常,占27.5%;高TG血症占6.4%;高TC血症最少,仅占2.2%。(2)汉、维、哈民族血脂水平的比较:TC及TG水平,汉族与维吾尔族明显高于哈萨克族(P<0.05);HDL-C及LDL-C水平比较,哈萨克族HDL-C水平最高,其次为汉族,维吾尔族HDL-C水平最低,哈萨克族LDL-C水平最低,维吾尔族LDL-C水平最高(P<0.05)。(3)汉、维、哈民族不同性别血脂水平比较:汉、维、哈民族TG水平男性均高于女性,HDL-C水平女性均高于男性(P<0.05);维吾尔族女性的LDL-C水平高于汉族女性(P<0.05)。(4)汉、维、哈民族不同年龄段血脂水平比较:汉、维、哈民族TC水平随着年龄增长而呈递增趋势(P<0.05)。结论不同民族血脂水平存在差异。与哈萨克族人群相比,汉族与维吾尔族TC、TG、LDL-C水平较高,而HDL-C水平偏低。差异可能与性别、年龄、生产方式、饮食结构、肥胖、遗传等因素有关。更多还原

【Abstract】 Objective To investigate the lipid levels of Han,Uygur,Kazak in Xinjiang,understand the blood lipid level distribution characteristics,to analyze its influencing factors. Methods Cluster random sampling method was used. A total of 2 585 people,aged 18 ~ 70-year-old in Urumqi,Toli,Hutubi,Toksun,Hotan,Kashgar were selected. The levels of plasma total cholesterol( TC),triglyceride( TG),highdensity lipoprotein cholesterol( HDL-C),low density lipoprotein cholesterol( LDL-C) were analyzed. Results 1 474 people were diagnosed with dyslipidemia,in which low HDL-C was the most( 61. 5%),followed by mixed dyslipidemia( 27. 5%),high TG( 6. 4%),high TC was at least only 2. 2%. The levels of TC and TG of the Han and Uygur were higher than those in the Kazak( P<0. 05); The levels of HDL-C and LDL-C were higher in the Kazak than those of the Han and Uygur. The men’s TG levels of the Han,Uygur,Kazak were higher than those of women’s,and the levels of HDL-C were lower than those of women’s. Uighur women’s LDL-C level was higher than that of the Han women( P<0. 05). The TC levels of the Han,Uygur,Kazakh showed an increasing trend with age( P<0. 05). Conclusions Differences in lipid levels in different ethnic groups might be related to gender,age,mode of production,diet,obesity,genetic and other factors.更多还原