广东增城地区干部职工高脂血症的患病率及相关因素分析

目的了解健康体检的干部职工高脂血症的流行病学特征，探讨高脂血症的相关因素。方法人选2221例广州增城地区单位干部职工，包括公安系统、法院、政府部门、税局、交通局、银行系统的工作人员，分别测量身高、体重、血压、心电图、空腹血糖、甘油三酯、总胆固醇、低密度脂蛋白胆固醇、血尿酸以及作肝脏B超检查。结果2221例体检人群中发现高脂血症797例，患病率为35．9％，其中高TC患病率为15．1％，高TG患病率为21．7％，高LDL—C患病率为18．8％。发病高度集中在30-39岁人群中。单因素相关分析高脂血症与年龄、性别、高尿酸血症、高血压、超重／肥胖、心电图异常、高血糖、脂肪肝正相关（P〈0．05），与胆囊炎胆石症无显著性相关性（P〉0．05）。非条件logistic回归分析高脂血症与性别、高尿酸血症、超重／肥胖、脂肪肝正相关（P〈0．05）。结论广东增城地区干部职工高脂血症的患病率高；超重／肥胖、高尿酸血症、脂肪肝、高血糖是高脂血症的重要相关因素。防治高脂血症必须落实健康教育和健康促进，增强人群的自我保健意识，改变不良的饮食、生活习惯。

Analysis of morbidity and correlative factors of hyperlipemia of officials in Zengcheng district of Guangdong province

Objective For knowing the prevalence characteristic of hyperlipemia in health examination of local officals, to explore the correlative factors of hyperlipemia. Methods Chocking the height, weight, BP, ECG, FPG, TG, TC, L - DLC and UC examination of the liver of 2221 official stuffs from Zengcheng including security system,the court,govenment departments,tax bureau ,traffic office and bank system. Results 797 out of 2221 were diagnosed with hypedipemia,the morbidity of which was 35.9%. The morbidity of hypercholesterolemia,hypertriglycefidemia and high LDL - C was 15.1% ,21.7%, 18.8%. Positive correlation was found between hyperlipemia and factors including age, sex, overweight, hypertention, hyperglycosemia,hyperurieemia,abnormal ECG,fatty liver（ P 〈 0.05 ） by analysis of single faeter relation, while no correlation was found between hypedipemia and eholeeystolithiasis, choleeystitis （ P 〉 0.05 ）. Multiple factors analysis showed that positive correlation was found between hyperlipemia and sex, overweight, hyperurieemia, fatty liver（P 〈 0.05 ）. Condusion The morbidity of hyperlipemia of officials from Zengeheng is high; Overweight, hypertention, hyperglyeosemia and hyperurieemia are important factors of hyperlipemia. To prevent of hyperlipemia,we should enhance health education, strengthen health awareness and quit bad diet habits.