云浮市城区人群高脂血症流行病学调查

目的探讨云浮市社区居民高脂血症的患病率，分析其流行病学分布特征，为采取有效的干预对策和措施提供依据。方法采用随机整群抽样方法，对云浮市城区1053名常住居民进行流行病学调查并测定血清总胆固醇（TC）、血三酰甘油（TG）、高密度脂蛋白胆固醇（14DL—C）等指标。结果云浮市居民的血脂异常患病率较高。趋势xz检验表明，除男性低HDLC血症外，男女高TC血症、高TG血症、高LDLC血症的患病率有随年龄而增加的趋势：而女性低HDLC血症出现明显低龄化的趋势。TC、TG、LDLC水平随年龄增加而增加，50岁以前，男性TC、TG和LDLC的水平高于女性；50岁以后，女性则高于男性。结论城市居民血脂异常的防治工作十分迫切，通过对行为生活方式干预，加强重点人群的监测，开展以社区为基础的健康教育，引导人们建立健康生活方式，科学合理饮食、加强体育锻炼、控制体重、提高居民健康知识水平，是控制血脂异常的关键性措施。

Investigation of the prevalence of hyperlipidaemia in Yunfu city

Objective To investigate the prevalence of hyperlipidemia in Yunfu for providing the basis with available intervention measures.Methods By using random cluster sampling methods,1 053 inhabitants in Yunfu city were epidemiological investigation and determination of serum total cholesterol(TC) and blood triglyceride(TG) and high density lipoprotein cholesterol(HDL-C) were measured.Results The prevalence rate was high in Yunfu city,and the χ2 trend analysis showed that both male and female dwellers were in higher risk factors of hypercholesterolaemia,low HDL and high LDL except for low HDLC in males,and the low HDLC tended to see in younger females.Levels of TC,TG and LDLC rose with ages in both sexes,also the TC,TG and LDLC level in males younger than 50 years was higher than that of females and vice versa in women.Conclusion Prevention of lipid disorders in population of urban communities seem to be in urgent situation.The key measures such as healthy living style and foods,aggressive exercise,body balance,education of health may be effective in reducing the disorders.