【摘要】 目的调查2014年～2015年南充市顺庆区城区内45岁及以上人群血脂水平,并对相关影响因素进行分析。方法分别于2014年及2015年整群抽取23598名及24300名45岁及以上居民,通过问卷调查、体检、生化检查及膳食调查方式进行数据收集,同步进行慢病健康管理。结果 2014年、2015年血脂异常检出率分别为45.7%、29.4%,知晓率为7.2%、11.0%,治疗率为2.3%、4.3%。2014年的单因素分析显示,血脂异常与性别、文化程度、吸烟史、饮酒史、血脂异常家族史、高血压、糖尿病、锻炼、体重指数等相关;logistic分析结果显示,性别、文化程度、吸烟史、血脂异常家族史、高血压、糖尿病、锻炼、体重指数等是血脂异常的独立相关因素。2015年的单因素分析调查显示,血脂异常与性别、文化程度、高血压、糖尿病、体重指数等相关;logistic分析结果显示,性别、文化程度、高血压、糖尿病、冠心病、动物油食用、体重指数等是血脂异常的独立相关因素。结论南充市顺庆区城区内45岁及以上人群血脂异常知晓率、治疗率和控制率仍处于较低水平。性别、文化程度、吸烟史、血脂异常家族史、高血压、糖尿病、体重指数等是南充地区血脂异常的独立相关因素。血脂健康管理有效但需要进一步细化与加强。更多还原

【Abstract】 Objective To investigate and analyze the distribution of dyslipidemia and its influencing factors before and after the management of chronic diseases in 2014 and 2015 in Shunqing District, Nanchong. Methods Totally 23598 and 24300 residents aged 45 and over were recruited from the Shunqing District of Nanchong City in 2014 and 2015. Data was collected through questionnaire, physical examination, biochemical examination and dietary survey, and the health management of chronic disease was carried out simultaneously. Statistical analysis was performed using chi-square, t-test, variance analysis, and logistic regression analysis. Results The prevalence of dyslipidemia were 45.7% vs 29.4% in 2014 and 2015, respectively. The awareness rates were 7.2% vs 11.0% and the treatment rates were 2.3% vs 4.3%, respectively. Univariate analysis in 2014 showed that dyslipidemia was associated with gender, education, smoking, drinking, family history of dyslipidemia, hypertension, diabetes mellitus, exercise, body mass index and so on. Logistic analysis in 2014 showed that gender, educational level, smoking, family history of dyslipidemia, hypertension, diabetes mellitus, exercise and body mass index were independent factors of dyslipidemia. Univariate analysis in 2015 showed that dyslipidemia was associated with gender, educational level, hypertension, diabetes mellitus and body mass index. Logistic analysis in 2015 showed that gender, educational level, hypertension, diabetes mellitus, coronary heart disease, animal oil consumption, body mass index and other independent factors were related to dyslipidemia. Conclusion The dyslipidemia situation of the population aged 45 and over in Nanchong is still grim. Gender, education level, smoking history, dyslipidemia family history, hypertension, diabetes mellitus, body mass index are independent related factors of dyslipidemia in Nanchong city. The health management of blood lipid in Nanchong area is effective but needs further refinement.更多还原