浙江省温州市城乡居民血脂异常及其分布特征分析

目的 了解浙江省温州市城乡居民血脂异常及其分布特征,为制定防治政策提供科学依据。 方法 采用多阶段随机抽样的方法抽取温州市城乡各2个县(区)18～80岁共13 056名常住居民,进行问卷调查、体格检查(身高、体重、血压的测量)及实验室检测(总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、甘油三酯和血糖),并进行统计学分析。 结果 温州市城乡居民血脂水平(xCI):TC为(5.05,5.01～5.08)mmol/L、HDL-C为(1.38,1.37～1.39)mmol/L、LDL-C为(2.82,2.79～2.84)mmol/L和TG为(1.71,1.68～1.74)mmol/L,各项血脂成分城乡间无差异,TC和LDL-C水平都是女性高于男性;血脂异常总患病率为39.9%,男性低于女性,主要异常类型为低高密度脂蛋白血症、高甘油三酯血症和高胆固醇血症。 结论 温州市城乡居民血脂水平处于较高水平,但血脂异常总患病率低于全省平均水平,防治重点人群仍以中年男性和更年期以后女性为主,在开展血脂异常的防治工作同时,更要加强高血压和糖尿病的防治工作。

Prevalence of dyslipidemia in urban and rural residents in Wenzhou,Zhejiang

Objective To understand the prevalence of dyslipidemia in urban and rural residents in Wenzhou, Zhejiang province and provide evidence for the development of dyslipidemia prevention and control strategy. Methods A total of 13 056 local urban and rural residents aged 18-80 years were selected through multi-stage random sampling from two counties and districts of Wenzhou. The survey included questionnaire interview, physical examination, i.e. body height/weight and blood pressure measurements, and laboratory test, i.e. the detections of total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), triglyceride (TG) and blood sugar. Results The average dyslipidemia level in urban and rural residents in Wenzhou is as follow: TC: 5.05 mmol/L (95% CI:5.01-5.08), HDL-C: 1.38 mmol/L (95% CI: 1.37-1.39), LDL-C: 2.82 mmol/L (95% CI: 2.79-2.84) and TG: 1.71 mmol/L (95% CI:1.68-1.74), the differences between urban residents and rural residents had no statistical significance, and the levels of TC and LDL-C were higher in females than in males; The overall prevalence of dyslipidemia was 39.9%, and it was lower in males than in females. The major forms of dyslipidemia were low and high density lipoprotein cholesterol, hypertriglyceridemia and hypercholesterolemia. Conclusion The overall blood lipid level was relatively high in urban and rural residents in Wenzhou, but the overall prevalence of dyslipidemia was lower than the average level in the province. Middle aged males and climacteric females are the kay population for prevention and control of dyslipidemia, and the prevention and control of hypertension and diabetes should be strengthened.