新疆牧区少数民族血脂水平调查

目的 :掌握新疆牧区少数民族血脂水平及血脂异常的患病现况 ,为今后血脂异常防治工作的开展筛选高危人群。方法 :采用整群随机抽样的方法对居住在新疆牧区的布克赛尔蒙古自治县和福海县两地的 10 84例哈萨克人和蒙古人进行现况调查 ;检测血浆 TC、TG、L DL- C,计算 HDL- C的值。结果 :(1)高 L DL- C、低 HDL- C血症为该牧区人群血脂异常的主要类型 ,前者患病率男女性组分别为 5 1.0 % ,32 .0 9% (P<0 .0 5 ) ;后者患病率分别为 5 0 .15 % ,2 9.75 % (P<0 .0 5 ) ,均接近全国最高水平。 (2 )血脂异常的患病率与年龄、性别有关。 6 0岁以前男性高于女性 (P<0 .0 5 ) ,6 0岁年龄组以后则为女性高于男性 (P<0 .0 5 ) ;男女患病率随年龄的增高而增高。 (3) HDL- C水平总趋势是女性高于男性 ,但差异无显著性 (P>0 .0 5 )。 (4)与内地其它地区调查结果比较 ,本次调查人群的 TC、L DL- C水平均处在较高水平 ,而 TG、HDL- C处于较低水平。 (5 )与 10年前该民族的血脂水平比较 ,TC、TG、L DL- C呈增加趋势 ,而对人体有保护作用的 HDL-C却呈递减趋势。结论 :新疆牧区哈萨克人和蒙古人为血脂异常的高发人群 ,其原因可能除与该民族的遗传易感性有关外 ,其特殊的饮食结构和饮食习惯对血脂的影响也不容忽视。

INVESTIGATION OF LIPDEMIA LEVEL OF MINORITY IN XINJIANG PASTURING AREA

Objective:To study the prevalence of lipdemia standard and abnormal lipdemia in Xinjiang pasturing area minority,and select high risk population.Methods:A current investigation of 1084 Mongol and kazakan people with random sample was conducted.Blood TC?TG?LDL-C were measured,HDL-C with numeration was calculated.Results:(1)hyperLDL-C?low HDL-C were the key types in this pasturing area,the former prevalence was 51.0% and 32.09% among the male and female;and the later was 50.15% and 29.75%( P< 0.05),both near average standard in our country.(2)abnormal lipdemia was related to age and sex,that was more higher in the male group than that in female group,and increased with the age,but the female group was more higher than male group over 60 years old( P< 0.05).(3)The general standard tendency of HDL-C in female group was higher than that in male group,but with no statistical difference.(4)Compared with other areas,TC?LDL-C standard on the higher level,but TG?HDL-C on the lower.(5)Compared with the lipdemia standard of the same minority ten years before,TC,TG,LDL-C showed an increasing trend,however,HDL-C which had protection to human body show a decreasing trend.Conclusion:The Mongol and kazakan people in Xinjiang pasturing areas are the higher prevalence of the abnormal lipdemia.The etiology may be connected with the heredity susceptibility,on the other hand,we can't ignore the dietetic structure and habits.