【摘要】 [目的]调查延边农村地区朝鲜族和汉族居民脂质代谢异常分布特征.[方法]于2004年8月—2005年8月,在延边地区图们市和安图县随机选择4个镇的30岁以上朝鲜族和汉族居民1 786人,取清晨空腹(禁食12 h)静脉血,测定血清总胆固醇(TC)、甘油三酯(TG)及高密度脂蛋白胆固醇(HDL-C)等指标.[结果]朝鲜族和汉族男性脂质代谢异常的粗患病率分别为64.3%,50.6%,女性分别为76.6%,58.4%;朝鲜族和汉族男性标准化患病率分别为62.7%,50.4%,女性分别为70.2%,58.0%;朝鲜族男女粗患病率及标准化患病率均显著高于汉族.朝鲜族和汉族男性高胆固醇血症的粗患病率分别为15.9%,17.3%,女性分别为24.2%,18.8%;朝鲜族和汉族男性标准化患病率分别为11.9%,15.4%,女性分别为17.7%,18.4%,其中朝鲜族女性粗患病率显著高于汉族女性,汉族男性标准化患病率显著高于朝鲜族男性.朝鲜族和汉族男性高甘油三酯血症的粗患病率分别为43.5%,32.7%,女性分别为42.7%,34.1%;朝鲜族和汉族男性标准化患病率分别为39.3%,33.2%,女性分别为34.7%,33.7%,其中朝鲜族男性粗患病率及标准化患病率均显著高于汉族男性,朝鲜族女性粗患病率显著高于汉族女性.朝鲜族和汉族男性低高密度脂蛋白-胆固醇血症的粗患病率分别为31.5%,20.5%,女性分别为47.0%,29.8%;朝鲜族和汉族男性标准化患病率分别为34.4%,21.1%,女性分别为47.9%,29.5%;朝鲜族男女粗患病率及标化患病率均显著高于汉族.[结论]延边农村社区朝鲜族和汉族人群的不同类型脂质代谢异常分布特征间存在差异.更多还原

【Abstract】 OBJECTIVE To investigate the distributing characteristics of different types of lipid metabolic disorder among Korean nationality and Han nationality in countryside community of Yanbian area. METHODS Using simple randomized principia, 1 786 people of Korean nationality and Han nationality aged ≥30 years from August 2004 to August 2005 in four town,Antu and Tumen of Yanbian were selected.The original area and national proportion of people brought into were close,and they knew and agreed the surveying matters. The fasting vein blood in early morning 12 hours of fasting was taken out,and the serum total cholesterol(TC),triglyceride(TG),high-density lipoprotein cholesterol(HDLC) etc.were measured. The upperbiochemical indexes were detected with the whole automatic biochemistry analyzer. RESULTS For male,the crude rate of lipid metabolic disorder was 64.3% in the Korean nationality and 50.6% in the Han nationality,and it’s 76.6% and 58.4% among female, respectively;the age-adjusted prevalence rates were 62.7% and 50.4% in male,and it’s 70.2% and 58.0% in female,respectively. The crude and age-adjusted rates of lipid metabolic disorder were significantly higher in the(Korean) nationality than those in Hannationality in both sex.For male,the crude rate of high TC was 15.9% in the Korean nationality and 17.3% in the Han nationality,and it’s 24.2% and 18.8% among female, respectively;the age-adjusted prevalence rates were 11.9% and 15.4% in male,and it’s 17.7% and 18.4% in female,respectively. The rate of crude of high TC in the Korean nationality was significantly higher than that in the Han nationality among female and the age-adjusted prevalence in the Han nationality was significantly higher than that in the Korean nationality among male.For male,the crude rate of high TG was 43.5% in the Korean nationality and 32.7% in the Han nationality,and it’s 42.7% and 34.1% among female, respectively;the age-adjusted prevalence rates were 39.3% and 33.2% in male,and it’s 34.7% and 33.7% in female,respectively. The crude and age-adjusted rates of high TG in the Korean nationality were significantly higher than those in the Han nationality among male and the crude prevalence in the Korean nationality was significantly higher than that in the Han nationality among female.For male,the crude rate of low HDL-C was 31.5% in the Korean nationality and 20.5% in the Han nationality,and it’s 47.0% and 29.8% among female,respectively;the age-adjusted prevalence rates were 34.4% and 21.1% in male,and it’s 47.9% and 29.5% in female,respectively. The crude and age-adjusted rates of lipid metabolic disorder were significantly higher in the Korean nationality than those in Han nationality in both sex. CONCLUSION The distributing characteristics of the different types of lipid metabolic disorder among Han nationality and Korean nationality in countryside community of Yanbian are significant different.更多还原