五角场街道社区高血压人群血脂障碍调查分析

目的探讨五角场街道社区成年高血压患者的各种血脂异常的流行病学特征。方法使用多级抽样方法调查了社区1842名高血压患者（其中男性853,女性989名）,年龄≥40岁。血脂异常的脂类表现形式遵循欧洲动脉粥样硬化协会指南（1992）。结果最常见的血脂异常是单纯性高胆固醇血症,平均发生率为35.3%（其中男性是33.6%,女性是36.8%） 混合型高脂血症是排在第二位的,平均发生率为15.9% 单纯性高甘油三酯血症排在第三位,大约占6.1% 低脂蛋白血症和严重高脂血症分别占2.5%和3.7% 混合高甘油三酯-低脂蛋白血症的患者最少,占0.5%（其中男性占0.7%,女性占0.4%）。糖尿病患者中单纯性高甘油三酯血症、混合型高脂血症和严重高脂血症患者比例更高。相对于标准体重,肥胖者中单纯性高甘油三酯血症、混合高甘油三酯-低脂蛋白血症、混合型高脂血症和严重高脂血症患者比例更高。结论社区高血压患者血脂障碍普遍存在,糖尿病和肥胖会增加血脂障碍发生的可能性。

Prevalence and Risk Factors Analysis of Dyslipidemia Among Communal Hypertensive Adults

Objective To investigate the epidemiologic features of some forms of dyslipidemia in communal hypertensive adults in Wujiaochang Community of Shanghai.Methods A cross-sectional survey was conducted through a cluster multistage sampling of a resident group of 1 842 hypertensive individuals（853 men and 989 women,aged≥40 years） in Shanghai.The cutpoints of lipid phenotypes were based on the1992 recommendations of the European Atherosclerosis Society.Results The most prevalent abnormality（35.3%） was isolated hypercholesterolemia（33.6% for men and 36.8% for women）.Mixed dyslipidemia was the secondary prevalent abnormality（15.9%）.Isolated hypertriglyceridemia was observed in 6.1% of the sample.The prevalence of normotriglyceridemic hypoalphalipoproteinemia and severe dyslipidemia was 2.5% and 3.7%,respectively.Only a few samples had the abnormality of hypertriglyceridemia/hypoalphalipoproteinemia（0.7% for men and 0.4% for women）.The prevalence of isolated hypertriglyceridemia,mixed dyslipidemia,and severe dyslipidemia was higher in diabetic patients compared with non-diabetic patients.Compared with those of normal weight,obese patients had a higher prevalence of isolated hypertriglyceridemia,mixed dyslipidemia,hypertriglyceridemia/hypoalphalipoproteinemia and severe dyslipidemia.Conclusion The prevalence of dyslipidemia among these hypertensive patients was relatively high.Diabetes and obesity,the modifiable risk factors,increased the likelihood of dyslipidemia.