深圳市2015年居民血脂异常流行病学调查

目的 了解广东省深圳市18~69岁居民血脂水平分布特征及血脂异常状况,为心血管疾病防治工作提供科学依据。方法 采用多阶段分层随机整群抽样方法于2015年随机抽取深圳市100个社区,共11 213名18~69岁居民为研究对象,进行入户调查、体格检查和血脂测定。结果 共调查深圳居民11 213人,其中男性4 580人,女性6 633人。深圳市18~69岁居民TC、TG、HDL-C水平分别为（4.53±1.16） mmol/L、（1.50±1.46） mmol/L和（1.29±0.43） mmol/L,总人群不同年龄组间各项指标水平均存在差异（P<0.05）;男性TG水平高于女性（P<0.05）,各年龄组女性HDL-C平均水平均高于男性（P<0.05）。血脂异常4 109例,标化异常率32.27%,男性2 139例,标化率为44.19%,女性1 970例,标化率为23.81%,18~54岁年龄段男性血脂异常率高于女性,55岁后女性高于男性（P<0.05）;其中高TC、高TG 和低HDL-C标化异常率分别为7.97%、23.62%和12.72%,深圳市居民血脂异常类型主要为高TG 型;男性高TG及低HDL-C异常率均高于女性（P<0.05）,总人群高TC、高TG、低HDL-C及血脂异常率不同年龄组间比较差异均有统计学意义（P<0.001）。不同社会因素人群血脂异常率存在差异。结论 深圳市居民血脂异常率高,建议采取有针对性的措施控制人群血脂水平,进一步改善居民健康状况。

Epidemiological survey of dyslipidemia among residents of Shenzhen, 2015

Objective To understand the distribution characteristics of the level of blood lipid and the prevalence of dyslipidemia among the residents aged form 18 to 69 years in Shenzhen City, so as to provide the evidence for prevention and intervention of dyslipidemia. Methods Totally 11 213 residents in 100 communities were sampled by using the multi-stage stratified cluster sampling method in 2015, and the information of the residents was collected by the questionnaire survey, physical examination and laboratory test. Results Among 11 213 residents surveyed, 4 580 were males and 6 633 were females. The means of TC, TG and HDL-C were (4.53±1.16) mmol/L, (1.50±1.46)mmol/L and (1.29±0.43) mmol/L, respectively. The means of the indicators were significantly different among the age groups in total (P<0.05). The mean of TG in the males was higher than that in the females (P<0.05). The mean of HDL-C in the females was higher than that in the males among every age group. Among the participants, 4 109 had dyslipidemia, the standardized prevalence rate was 32.27%, of them, 2 139 were males (standardized prevalence rate 44.19%), 1970 were females (standardized prevalence rate 23.81%), the prevalence of dyslipidemia in the males was higher than that in the females among the residents aged 18 to 54 years, but after 55 years, the contrary was the case (P<0.05). The standardized prevalence rates of high TC, high TG, and low HDL-C were 7.97%, 23.62% and 12.72%, respectively. The main type of dyslipidemia was high TG. The prevalence rates of high TG and low HDL-C in the males were higher than those in the females (P<0.05). The prevalence rates of high TC, high TG, low HDL-C and dyslipidemia were significantly differentamong the age groups in total(P<0.001). There were differences among people with different social factorsin the prevalence of dyslipidemia. Conclusion The prevalence of dyslipidemia in the residents of Shenzhen City is high, and it is suggested that targeted measures should be taken to control the blood lipid level of the population in order to further improve the health status of the residents.