| 西藏阿里地区西部区域藏族人群慢性病及影响因素的相关性研究 |
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| 引用本文： | 张玉飞,格桑平措,邱海兵,格桑卓玛,丁瑶,何小燕,熊海.西藏阿里地区西部区域藏族人群慢性病及影响因素的相关性研究[J].现代预防医学,2022,0(23):4246-4252. |
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| 作者姓名： | 张玉飞 格桑平措 邱海兵 格桑卓玛 丁瑶 何小燕 熊海 |
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| 作者单位： | 1.西藏大学医学院，西藏 拉萨 850000；2.四川大学华西公共卫生学院（华西第四医院） |
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| 摘 要： | 目的 分析西藏阿里地区西部区域藏族人群慢性病及影响因素的相关性。方法 利用多阶段整群随机抽样，抽取阿里地区西部四县1453名藏族居民进行调查，并收集血常规及生化检测指标。采用χ2检验和 logistic 回归分析检出慢性病的影响因素。结果 该地区藏族居民患病率居前3位的慢性病依次为高同型半胱氨酸血症(77.6%)、高尿酸血症(51.5%)和血脂异常(45.2%)。性别、年龄、体型、居住地、吸烟和饮酒是藏族居民慢性病主要的影响因素，女性是高尿酸血症(OR=0.547，95%CI:0.438~0.682)、肝功异常（OR= 0.482, 95%CI:0.369~0.628）、肾功异常（OR= 0.020, 95%CI:0.011~0.040）和高同型半胱氨酸血症(OR=0.434, 95%CI:0.327~0.574)的保护因素；超重/肥胖是高原红细胞增多症、脂肪肝、高尿酸血症、肝功异常、血脂异常、高血糖的危险因素。结论 西藏阿里西部地区高同型半胱氨酸血症、高尿酸血症和血脂异常检出率较高，超重/肥胖和饮酒是主要的危险因素。
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| 关 键 词： | 西藏阿里地区西部四县 慢性病 生化检测 影响因素 |
Correlation study on chronic diseases and influencing factors among Tibetans in the western region of Ngari region of Tibet |
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| ZHANG Yu-fei,GESANG Ping-cuo,QIU Hai-bing,GESANG Zhuo-ma,DING Yao,HE Xiao-yan,XIONG Hai.Correlation study on chronic diseases and influencing factors among Tibetans in the western region of Ngari region of Tibet[J].Modern Preventive Medicine,2022,0(23):4246-4252. |
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| Authors: | ZHANG Yu-fei GESANG Ping-cuo QIU Hai-bing GESANG Zhuo-ma DING Yao HE Xiao-yan XIONG Hai |
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| Affiliation: | *Tibet University School of Medicine, Lhasa, Tibet 850000, China |
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| Abstract: | Objective To analyze the correlation of chronic diseases and influencing factors among Tibetans in the western region of Ngari region of Tibet. Methods A multi-stage cluster random sampling survey was used to select 1453 Tibetan residents in four counties in the western part of the Ali area for investigation, and blood routine and biochemical test indicators were collected. , with the aim of analyzing the types of chronic diseases detected and their influencing factors. Results The top three chronic diseases in Tibetan residents in the four western counties were hyperhomocysteinemia (77.6%), hyperuricemia (51.5%) and dyslipidemia (45.2%). Gender, age, BMI, place of residence, smoking and drinking were the main influencing factors of chronic diseases in Tibetan residents. Being women was the protective factors for hyperuricemia (OR=0.547, 95%CI: 0.438-0.682), abnormal liver function (OR= 0.482, 95%CI: 0.369-0.628), abnormal renal function (OR= 0.020, 95%CI: 0.011-0.040) and hyperhomocysteinemia (OR=0.434, 95%CI: 0.327-0.574). Overweight/obesity was a risk factor for high altitude polycythemia, fatty liver, hyperuricemia, abnormal liver function, dyslipidemia, and hyperglycemia. Conclusion The detection rates of hyperhomocysteinemia, hyperuricemia and dyslipidemia are high in the western region of Ali in Tibet. Overweight/obesity and alcohol consumption are the main risk factors. |
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| Keywords: | Four western counties in Ngari region of Tibet Chronic diseases Biochemical detection Influencing factors |
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