1 500例体检人群血脂水平的调查分析

目的探讨血脂异常的发生规律及其高脂血症分型。方法对1500例本区机关单位人员进行血脂4项和脂蛋白（a）LP（a）]水平进行调查，分析其血脂异常的发生规律及其高脂血症分型。结果血脂4项均在合适水平者占45．2％，总胆固醇（TC）、三酰甘油（TG）均在合适水平者也仅为53．0%；明确的高脂血症检出率以Ⅱa型最高（10．7％），Ⅱb型最少（1．3％）。青年男性Lp（a）和低密度脂蛋白胆固醇（LDL-C）同时增高的检出率显著高于女性，其他各年龄组男女检出率差异均无统计学意义。结论降脂治疗应以调整TC和LDL-C水平为主；绝经后女性和青年男性应注意血脂异常的及时防治。

Investigation and analysis of lipid level in 1 500 subjects

Objective To study the characteristics of dyslipidemia and phenotyping of hyperlipidemia. Methods The four lipid items and LP（a） level of 1 500 cases of the professional population were investigated. The characteristics of dyslipidemia and phenotyping of hyperlipidemia were studied. Results Only 45.2% had suitable TC, TG, LDL-C and HDL-C levels, and 53.0 % had suitable TC and TG levels in all subjects. The detection rate of hyperlipidemia type Ⅱ a （10.7%） was more higher than that of type Ⅳ （5.6%） and type Ⅱ B（1.3%）. The detection rate of simultaneous high Lp（a） and LDL-C of young males was significantly higher than that of females. There wasn＇t statistical difference of the detection rate between males and females in other age groups. Conclusion Lipid reduction treatment should be emphasized on regulating TC and LDL-C levels. Postmenopause females and young males should pay attention to earlier prevention and treatment of dyslipidemia.