上海市松江区泗泾地区健康人群血脂水平调查与分析

目的调查泗泾地区人群血脂水平和血脂谱现状，探讨泗泾镇高脂血症发病情况及高脂血症与年龄、血致动脉硬化指数（AIP）水平关系，为血脂异常防治提供客观依据。方法收集2010年4—12月在泗泾医院体检的8098例人员资料，并测定甘油三酯（TG）、总胆固醇（TC）、低密度脂蛋白胆固醇（LDL—C）和高密度脂蛋白胆固醇（HDL—C），计算出非高密度脂蚕白胆固醇（non—HDL—C）、AIP，并按不同年龄段进行分组，将各组进行比较分析。结果TC水平最高男性为4．83mmol/L，女性为5．24mmol／L，高水平年龄在61—70岁；TG水平最高男性为2．02mmol/L，女性为1．67mmol／L，年龄在41-70岁：HDL-C最低水平为1．12mmol／L，各年龄段均在合适水平；LDL—C最高男性为2．36mmol／L，女性为2．47mmol／L，年龄在31～70岁．健康人异常脂蛋白血症发生率（按2007年《中国成人血脂异常防治指南》中血脂水平划分方案划1分为TC38．89％、TG32．21％、HDL—C24．92％和LDL—C5．09％。结论该地区健康人TC、TC、HDL—C和LDL—C整体水平明显高于2002年中国营养与健康调查血脂在人群中的水平。血脂谱以异常高TC占首位，依次为TG、HDL—C和LDL—C．高TG血症发生率（32．21％）与高TC血症发生率（38．49％）相差不多，应重视高TG血症防治。

Health Survey and Analysis of Blood Lipid Levels in Sijing, Songjiang District

OBJECTIVE To investigate the level of blood lipid Sijing region and the lipid profile status, hyperlipidemia Sijing explore the incidence and age and blood hyperlipidemia and atherogenic index（AIP）level relations,and provide an objective basis for prevention and treatment of dyslipidemia. METHODS To collect in April 2010 to dec. 8 098 cases in our hospital medical personnel and determined the information（TG）, triglyceride total cholesterol（TC）, low density lipoprotein cholesterol（LDL-C）, high-density lipoprotein cholesterol （HDL-C）, calculated the come hdl-c, AIP; And according to different age groups,will each was analyzed. RESULTS The highest levels of TC men 4.83 mmol/L, women 5.24 mmol/L, high-level aged 61 to 70 years; TG highest level of men 2.02mmol/L, women 1.67 mmol/L, aged 41 to 70 years; HDL-C level of the lowest 1.12 mmol/L, of all ages are at the right level; LDL-C up to men 2.36 mmol/L, women 2.47 mmol/L, aged 31 to 70 years old. Healthy abnormal incidence of hyperlipoproteinemia tor TC 38.89%, TG 32.21%, HDL-C 24.92%, LDL-C 5.09%. CONCLUSION Healthy TC, TG, HDL-C, LDL-C levels were significantly higher than the overall 2002 China Nutrition and Health Survey lipid levels in the population. Abnormal lipid profile with high TC accounted for first, followed by TG, HDL-C, LDL-C.The incidence of high TG hyperlipidemia（32.21%）incidence of hyperlipidemia with high TC（38.49%）are very similar,should pay attention to high TG hyperlipidemia control.