贵阳市中老年人群血脂异常知晓率、治疗率及控制率3年随访研究

目的: 对贵阳市40岁以上血脂异常的常住中老年人群进行3年的随访研究,分析其血脂异常知晓率、治疗率和控制情况及其相关因素。方法: 于2011年随机抽取贵阳市城区≥40岁的6 872例血脂异常人群作为研究对象,进行问卷调查、体格检查及血糖、血脂测定,于2014年再次对上述人群进行3年后回访,分析该人群血脂异常的知晓率、治疗率、控制率及其相关因素。结果: 2011年基线血脂异常人群在2014年回访中血脂异常的知晓率、药物治疗率、控制达标率分别为29.9%、6.4%、17.2%,其中低高密度脂蛋白胆固醇血症、高低密度脂蛋白胆固醇血症、高总胆固醇血症、高三酰甘油血症控制达标率分别为76.7%、27.5%、19.9%、27.7%。分析显示,导致血脂异常未达标的相关因素包括女性、高餐后血糖、高舒张压、高体质量指数。结论: 贵阳市血脂异常老年人群中的血脂异常知晓率、降脂药物治疗率、控制达标率均较低。

Awareness,treatment and control of dyslipidemia in middle-aged and older population in Guiyang: A three-year follow-up study

Objective: To study the status of awareness, treatment, control of dyslipidemia in people aged40years, over in Guiyang. Methods: A total of6,872adults aged40years, over with dyslipidemia in Guiyang were recruited randomly in2011, 2014. Baseline, follow-up clinical, laboratory data were collected through questionnaire survey, physical examination, blood glucose, lipid tests. The status of awareness, treatment, control of dyslipidemia, relative factors were analyzed. Results: Three years of follow up showed that the awareness, treatment, control rates of dyslipidemia among middle-aged, older adults with dyslipidemia were29.9%, 6.4%, 17.2%, respectively, the successful control rates of HDL cholesterol, LDL cholesterol, total cholesterol, triglyceride were76.7%, 27.5%, 19.9%, 27.7%, respectively. Factors related to unsuccessful control included female, postprandial blood glucose, diastolic blood pressure, BMI. Conclusions: The awareness, treatment, successful control rates of dyslipidemia in middle-aged, over adults with dyslipidemia in Guiyang are low, should pay more attention