2010—2018年陕西省成年居民血脂异常现状调查分析

目的 分析2010—2018年陕西省成年居民血脂异常流行现状和变化趋势。方法 2010年、2013年、2015年和2018年共开展四次慢性病及其危险因素监测，抽取调查对象静脉血，检测总胆固醇（TC）、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）和甘油三酯（TG）。对四次调查的数据均采用复杂加权进行调整，计算血脂异常患病率，运用趋势〖XC小五号.EPS;P〗检验分析四次调查中患病率的变化趋势。结果 2010—2018年陕西省成年居民血脂异常患病率从49.47%下降到31.71%，高TC血症患病率从1.50%上升至5.38%，低HDL-C血症患病率从43.96%下降到19.14%，高TG血症患病率从12.92%上升至21.03%，高LDL-C血症患病率从2010年的1.20%上升到2015年的5.28%，2018年又下降至4.72%。结论 陕西省成年居民血脂异常患病率呈下降趋势，但是总患病率仍较高，低HDL-C血症和高TG血症是该地区血脂异常的主要形式。

Cross-sectional survey on dyslipidemia among adults in Shaanxi, 2010—2018

To analyze the prevalence and trend of dyslipidemia among adults in Shaanxi Province from 2010 to2018. Methods Data were derived from the Non － communicable and Chronic Disease Ｒisk Factor Surveillance in 2010，2013，2015 and 2018. Venous blood samples were collected to detect total cholesterol ( TC) ，low density lipoproteincholesterol ( LDL － C) ，high density lipoprotein cholesterol ( HDL － C) and triglyceride ( TG) . The data of the four surveyswere adjusted by complex weighting，and the prevalence of dyslipidemia was calculated. The trend χ2 test was used to analyzethe trend of the prevalence of dyslipidemia in the four surveys. Ｒesults From 2010 to 2018，the prevalence of dyslipidemiadecreased from 49. 47% to 31. 71% ，the prevalence of high TC increased from 1. 50% to 5. 38% ，the prevalence of low HDL－ C decreased from 43. 96% to 19. 14% ，the prevalence of high TG increased from 12. 92% to 21. 03% ，and the prevalenceof high LDL － C increased from 1. 20% in 2010 to 5. 28% in 2015，and then decreased to 4. 72% in 2018. Conclusion Theprevalence of dyslipidemia in adults of Shaanxi Province shows a downward trend at a high level. Low HDL － C and high TG aretwo major types of dyslipidemia