北京地区体检人群血脂紊乱及高血糖患病率的研究

目的 了解北京市人群血脂紊乱、高血糖患病率及其特点.方法 对2008年10月至2011年8月在该院体检的7 605例北京市机关、企事业单位体检者进行调查,内容包括性别、年龄、既往史等.并采集空腹静脉血对血糖、血脂等结果进行统计学分析.结果 (1)调查人群中高总胆固醇(TC)血症、高三酰甘油(TG)血症、低血清高密度脂蛋白胆固醇(HDL-C)血症、高血清低密度脂蛋白胆固醇(LDL-C)血症患病率分别为45.0%(3 424例)、34.6%(2 633例)、16.1 %(1 228例)、21.1%(1 605例);符合高血糖诊断标准者927例,检出率为12.2%.(2)以上各项目男性患病率均高于女性,但大于50～60岁、＞60岁年龄组高TC血症、高LDL-C血症女性患病率高于男性,＞60岁年龄组高TG血症女性患病率高于男性.(3)高TG血症、高TC血症、高LDL-C血症患病率明显高于1986年统计结果.结论 北京市高血糖、高脂血症患病率与1986年比较明显升高,因此,从中青年开始特别是男性更应改善生活方式,加强膳食平衡,增强体育锻炼,提高生活质量,以预防相关疾病的发生.

Investigation on the prevalence of dyslipidemia and hyperglycemia in subjects accepting physical examination in Beijing

Objective To investigate the prevalence and features of dyslipidemia and hyperglycemia in Beijing.Methods General investigation on gender,age and medical history of 7 605 adults,accepting physical examination in this hospital,was carried out during October,2008 to August,2011.Levels of fasting blood glucose,blood lipids and other items were statistically analyzed.Results(1)The prevalence of high cholesterol(TC),high triglyceride(TG),low high-density lipoprotein cholesterol(HDL-C) and high low density lipoprotein cholesterol(LDL-C) were 45%(3 424 cases),34.6%(2 633 cases),16.1%(1 228 cases) and 21.1%(1 605 cases) respectively.The prevalence of hyperglycemia was 12.2%(927 cases).(2)The general prevalence of above disorders in male was higher than in female,but the prevalence of high TC and high LDL-C was higher in female than in male of over 50 years old group,and the prevalence of high TG was higher in female than in male of over 60 years old group.(3)The general prevalence of hypertriglyceridemia,hypercholesterolemia and high LDL cholesterol were significantly higher,compared with the investigation in 1986.Conclusion The prevalence of hyperglycemia and hyperlipidemia among people in Beijing might be significantly higher than in 1986,therefore,the middle-aged,men in particular,should improve lifestyle,keep diet balance and take more exercise to prevent disease and improve quality of life.