2015年广州地区健康体检人群血脂检测结果分析

目的：了解广州地区人群血脂分布特征，为血脂异常防治工作提供依据。方法以2015年在广州市番禺疗养院体检中心接受体检的9778例受检者为研究对象，根据不同年龄段分为6组，收集其血清总胆固醇(TC)、甘油三脂(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)等指标，分析各年龄段人群血脂水平和血脂异常患病率。结果受检人群TC、TG、HDL-C和LDL-C总体均值分别为5.15 mmol/L、1.55 mmol/L、1.46 mmol/L和3.31 mmol/L，总体标化均值分别为4.96 mmol/L、1.43 mmol/L、1.47 mmol/L和3.18 mmol/L；男、女性各项指标总体均值差异均有统计学意义(P<0.05)。人群血脂异常总患病率为30.03%，总标化患病率为24.69%；其中，男、女性总标化患病率分别为25.14%和20.69%，差异有统计学意义(P<0.05)。男、女性及总体患病率有随年龄的增长呈先升后降趋势(χ2=114.47、23.26、121.46，P<0.01)。结论广州地区人群血脂异常患病率随年龄增大而上升，50岁以上人群患病率较高。

Dyslipidemia among people receiving health examination in Guangzhou City in 2015

Objective To study the distribution characteristics of dyslipidemia among people receiving health examination in Guangzhou City, and to provide evidence for prevention of dyslipidemia. Methods A total of 9 778 peo-ple receiving health examination in the medical examination center of Guangzhou Panyu Sanatorium were selected and divided into 6 groups according to age. The level of blood lipid and the prevalence of dyslipidemia were analyzed based on total cholesterol (TC), triglyceride (TG), high density lipoprotein-cholesterol (HDL-C) and low density lipoprotein-cho-lesterol (LDL-C). Results Means of TC, TG, HDL-C and LDL-C were 5.15 mmol/L, 1.55 mmol/L, 1.46 mmol/L and 3.31 mmol/L, and the standardized means were 4.96 mmol/L, 1.43 mmol/L, 1.47 mmol/L and 3.18 mmol/L. The means of the indicators were statistically significant between males and females (P<0.05). The prevalence of dyslipidemia was 30.03%in total, and the standardized prevalence was 24.69%. The prevalence of dyslipidemia were 25.14%in males and 20.69%in females, with statistically significant difference (P<0.05). The prevalence of both males and females and the total prevalence first increased with age and then decreased (χ2=114.47, 23.26, 121.46, P<0.01). Conclusion The preva-lence of dyslipidemia in Guangzhou City is increased with age, and the people older than 50 have higher prevalence.