温州市人群血脂水平及血脂异常率流行特征调查

目的研究温州市居民血脂水平及血脂异常流行情况及其影响因素,为制定防治措施提供科学依据。方法采用随机整群抽样的方法,抽取温州市5个社区7 194名35周岁以上居民进行血脂流行病学调查,包括问卷调查、体格检查和实验室检验。结果温州市35岁及以上高密度脂蛋白（HDLC）、低密度脂蛋白（LDLC）、甘油三酯（TG）及总胆固醇的水平（TC）值分别为（1.68±0.79）mmol/L、（2.74±0.80）mmol/L、（1.82±1.21）mmol/L和（5.21±1.14）mmol/L;HDLC、LDLC、TG及TC异常率分别为10.1%、21.3%、41.5%及48.1%。多因素非条件Logistic回归显示：HDLC异常与性别、年龄、饮酒、体质量指数及地区有关;LDLC异常与高血压、糖尿病密切相关;TG异常与年龄、吸烟、体力活动、糖尿病、高血压、体质量指数及地区有关;TC异常与性别、年龄、饮酒、糖尿病及体质量指数有关。讨论血脂异常已成为威胁温州市人民健康的重要危险因素;35岁及以上人群血脂异常以高TG、TC为主;应作好早期综合防治工作十分重要。

Epidemiological study on lipid level and its abnormal rate of Wenzhou community population

Objective To study the lipid level and its abnormal rate of Wenzhou community populations,and then to probe risk factors to make some prevention measures.Methods With the cluster random sampling,7 194 residents over 35 years old of ten community inWenzhouwere selected to carry on investigationwith questionnaire survey, physical examination and lab tests.Fasting plasma levels of total cholestero1（TC）,triglyceride（TG） and high-density lipoprotein cholesterol（HDLC）,low-density lipoprotein cholesterol（LDLC） were determined.Results The main level of HDLC,LDLC,TG and TC was（1.68±0.79）mmol/L,（2.74±0.80）mmol/L,（1.82±1.21）mmol/L and（5.21±1.14）mmol/L,respectively;and the prevalence rate of low blood HDLC,high LDLC,hypertriglyceridemia and hypercholesterolemia was 10.1%,21.3%,41.5% and 48.1%,respectively.Conclusions Dyslipidemia has become one of important risk factors threatening health ofWenzhou people,and hypertriglyceridemia and hypercholesterolemia are two major types among people over 35 years old.It is very important to pay more attention to earlier comprehensive prevention and control of dyslipidemia.