北京市社区最低生活保障老年人群血脂情况调查及分析

目的研究北京市社区最低生活保障老年人群血脂特点及流行病学特征。方法对2012年9月至2012年11月，来我院进行健康体检的≥60岁北京市社区最低生活保障老年人进行血脂调查，共计582人，检测其血清总胆固醇（TC）、三酰甘油（TG）、低密度脂蛋白胆固醇（LDL-C）及高密度脂蛋白胆固醇（HDL-C）水平，并进行实验室诊断，诊断结果与北京市社区普通老年居民血脂异常发生情况进行比较。同时，按年龄分为3组：60—69岁组、70—79岁组和80—90岁组，进行男性、女性组内血脂异常发生情况比较。结果北京市社区最低生活保障老年人群TC、TG及LDL—C异常比例均高于北京市社区普通老年人群（P〈0．05），而HDL—C异常比例低于北京市社区普通老年人群（P〈0．05）。低保老年人各年龄组男性LDL—C异常比例均低于女性（P〈0．05）；60—69岁组及80-90岁组，男性TC异常比例低于女性（P〈0．05）；60—69岁组及70～79岁组男性TG及HDL—C异常比例高于女性（P〈0．05）：80。90岁组男性TG异常比例低于女性（P〈0．05）；低保老年人群总体血脂异常比例明显高于北京市社区普通老年人群（P〈0．05），其中男性70～79岁组、女性60～69岁组血脂异常发生比例最高。结论北京市社区最低生活保障老年人群血脂异常比例较高，是北京市血脂异常防治的重点人群，而通过提高其生活水平，改善膳食结构，开展相关疾病的宣传教育，定期体检，合理药物控制，可降低该人群血脂水平，防止其心脑血管疾病的发生和发展。

Survey of blood lipid levels in the community elderly population with minimum living allowances of Beijing

Objective To analyze the characteristics of blood lipids levels in the community elderly population with minimum living allowances of Beijing. Methods A total of 582 elderly people who received health examination from September to November 2012 in our hospital were enrolled in this survey. The serum levels of total cholesterol （TC）, triglyceride （TG）, low-density lipoprotein cholesterol （LDL-C）, and high-density lipoprotein cholesterol （HDL-C） were detected. The results of lipid levels were compared with those of normal community elderly population of Beijing. Meanwhile, the older population was divided into three groups according to age, including 60-69 years group, 70-79 years group and 80-90 years group. And the correlation of lipid levels with age and gender were analyzed. Results The proportion of abnormal TC, TG and LDL-C levels in the elderly population with minimum living allowances was higher than that in normal elderly population （P〈0. 05）, while the proportion of abnormal HDL-C level was lower （P〈0. 05）. The proportion of abnormal LDL-C level in male was lower than that in female（P〈0. 05）.Compared with the female, the proportion of abnormal TC level of the male was lower in 60-69 years group and 80-90 years group ; and the proportion of abnormal TG level of the male was higher in 60-69 years group and 70-79 years group, while lower in 80-90 years group; and the proportion of abnormal HDL-C level in the male was higher in 60-69 years group and 70-79 years group. Conclusions There is high proportion of abnormal results of lipid levels in the community elderly population with minimum living allowances, which should be considered as target population of prevention and treatment for abnormal lipid levels. Decrease of their lipid levels are helpful for prevention of the occurrence and development of their cardiovascular and cerebrovaseular diseases.