云南省布朗族成年居民血脂异常现状及影响因素分析

目的 了解云南省布朗山区布朗族成年居民血脂异常患病现状及其影响因素，为血脂异常的防治提供依据。方法 2019年11月采用随机整群抽样方法选取布朗山乡967名18岁及以上成年居民，采用问卷调查、体格检查及实验室检测的方法获取相关资料。结果 布朗族成年居民血脂异常检出率为50.36%，混合型高脂血症检出率为8.39%，高胆固醇（TC）、高甘油三酯（TG）、高低密度脂蛋白胆固醇（HDL-C）、低高密度脂蛋白胆固醇（LDL-C）检出率依次为13.99%、35.13%、7.77%和28.19%。不同性别（x2=5.044，P=0.025）、年龄段（x2=30.212，P<0.001）之间血脂异常检出率差异有统计学意义；患糖尿病（x2=15.230，P<0.001）、患高尿酸血症（x2=24.191，P<0.001）血脂异常高于正常人群；饮酒（x2=6.417，P=0.011）、红肉摄入过量（x2=7.003，P=0.008）人群高TG检出率也较高。多因素logistic回归分析显示，≥30岁、红肉摄入过量、患糖尿病、患高尿酸血症是血脂异常的危险因素。结论 布朗族成年居民血脂异常患病率较高，应尽早采取干预措施。

Analysis on prevalence and risk factors of dyslipidemia in the adults of Bulang nationality in Yunnan

Objective To investigate the prevalence and risk factors of dyslipidemia among adultresidents of Bulang nationality in Bulang mountain area of Yunnan Province,so as to provide basis for the prevention and treatment of dyslipidemia. Methods In November 2019,967 adult residents aged 18 and above were selected by random cluster sampling method in Bulangshan township. The relevant data were obtained by questionnaire survey,physical examination and laboratory test. Results The detection rate of dyslipidemia was 50. 36%,and the detection rate of mixed hyperlipidemia was 8. 39%. The detection rates of TC,TG,HDL-C and LDL-C were 13. 99%,35. 13%,7. 77% and 28. 19%,respectively. The detection rate of dyslipidemia was significantly different between different genders( χ2= 5. 044,P = 0. 025) and age groups( χ2= 30. 212,P <0. 001); dyslipidemia in patients with diabetes mellitus( χ2= 15. 230,P < 0. 001) and hyperuricemia( χ2= 24. 191,P <0. 001) were higher than those in normal people; the detection rate of high TG in drinking( χ2= 6. 417,P = 0. 011) and excessive red meat intake( χ2= 7. 003,P = 0. 008) was also higher. Logistic regression analysis showed that over 30 years old,excessivered meat intake,diabetes and hyperuricemia were the risk factors related to dyslipidemia. Conclusion The prevalence of dyslipidemia in the adults of Bulang nationality is high,the interventions should be taken as soon as possible.