新疆哈萨克族及汉族成年居民血脂异常调查

目的 探讨新疆地区哈萨克族和汉族成年居民血脂异常的分布特点及患病现状,为该地区血脂异常防治提供依据。方法 采用分层整群抽样方法,抽取年龄≥18岁的哈萨克族、汉族居民7 362人,进行流行病学调查,检测其甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)水平。结果 哈萨克族人群TG、TC、LDL-C和HDL-C分别为(1.26±1.01)、(4.58±1.32)、(2.42±0.87)和(1.31±0.61)mmol/L;汉族人群分别为(1.65±1.32)、(4.62±1.08)、(2.22±0.94)和(1.63±0.70)mmol/L;哈萨克族人群人群血脂异常标化总患病率为41.7%,男性45.7%,女性39.3%,其中高TG血症、高TC血症、低HDL-C血症患病率依次为19.1%、13.0%、18.8%;汉族血脂异常标化总患病率为37.6%,男性43.6%,女性33.9%,其中高TG血症、高TC血症、低HDL-C血症患病率依次为32.1%、12.1%、4.3%。结论 哈萨克族是血脂异常的高发人群,高LDL-C血症和低HDL-C血症患病率明显高于汉族,而LDL-C水平男性高于女性,HDL-C水平女性高于男性,提示男性比女性发生血脂异常的危险更高。

Prevalence of dyslipidemia among Kazakh and Han adult populations in Xinjiang area

Objective To examine the prevalence of dyslipidemia among Kazakh and Han adult populations in Xinjiang Uygur Autonomous Region and to provide the basis for the prevention and treatment of dyslipidemia.Methods A stratified cluster sampling technique was used to select 7 362 Kazak or Han people aged 18 years or older.The triglyceride(TG),total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C),and high-density lipoprotein cholesterol(HDL-C) levels of the persons were determined.Results TG,TC,LDL-C,and HDL-C level of the Kazaks people were 1.26±1.01 mmol/L,4.58±1.32 mmol/L,2.42±0.87 mmol/L,and 1.31±0.61 mmol/L and those of the Hans were 1.65±1.32 mmol/L,4.62±1.08 mmol/L,2.22±0.94 mmol/L,and 1.63±0.70 mmol/L.The standardized prevalence rate of total dyslipidemia in the Kazakh people was 41.7%(45.7% for the male,39.3% for the female) and the prevalence rates of hypertriglyceridemia,hypercholesteremia,and low HDL-C were 19.1%,13.0%,and 18.8%.The standardized prevalence rate of total dyslipidemia in the Han people was 37.6%(43.6% for the male,33.9% for the female) and the prevalence rates of hypertriglyceridemia,hypercholesteremia,and low HDL-C were 32.1%,12.1%,and 4.3%.Conclusion The Kazaks have a higher risk of dyslipidemia than Han people,especially for high LDL-C and low HDL-C.The LDL-C level of the males is higher than that of the females and the HDL-C level of the males is lower than that of the females,suggesting that male have a higher risk of dyslipidemia than female.