1 026例机关干部血脂分布异常现状分析

目的 探讨中山城区局级干部血脂异常分布现状.方法 运用多阶段整群随机抽样方法,抽取城区局级1 026例健康体检干部(排除肝、肾、心功能,血糖异常),男478例,女548例,分成18～、30～、40～、50～、60～69岁5个年龄组段.TC、TG测定采用酶法,HDL-C、LDL-C测定采用直接法,应用日本东芝TBA120全自动生化分析仪进行测定.结果 男/女各组TC水平分别为5.82/5.83、6.05/5.92、6.54/6.32、6.44/7.06、6.35/7.15 mmol/L,TG水平分别为3.06/2.19、3.57/1.73、3.17/2.74、2.95/3.06、2.34/2.75 mmol/L,HDL-C水平分别为3.50/2.32、1.96/2.40、2.12/2.35、2.18/2.13、2.17/2.36 mmol/L,LDL-C分别为3.80/3.82、4.50/3.90、4.40/4.20、4.80/4.70、4.40/4.90 mmol/L.除HDL-C外,其余各项指标均大于中国血脂异常防治标准.血脂异常检出率,男/女各组分别为TC 17.57%/14.78%、TG 26.78%/13.69%、HDL-C 1.26%/0.55%、LDL-C 24.69%/18.43%.结论 本文血脂异常分布现状分析显示,中山城区干部血脂异常形势严峻,具有一定的流行病学意义.影响本地区机关干部血脂异常的相关原因有待进一步探讨.

Survey on distribution of blood lipid abnormality among 1 026 cases of government officers

Objective To investigate the distribution status of blood lipid abnormality among 1 026 government officers in Zhongshan City.Methods An investigation of 1 026 government officers(478 men as male group;548 women as female group,without liver,kidney or heart function abnormality,as well as pathoglycemia) was made by multi-stage(age 18-,30-,40-,50-and 60-69) stratified sampling and random cluster sampling.Total cholesterol and triglyceride were measured with enzymic method,and high density lipoprotein cholesterol(HDL-C) and low density lipoprotein cholesterol(LDL-C) with direct method.TBA120 automatic biochemistry analyzer was applied to measuring the above indice.Results The mean level(described as male/female) of TC in different age grade(age 18-,30-,40-,50-and 60-69) was 5.82/5.83,6.05/5.92,6.54/6.32,6.44/7.06 and 6.35/7.15 mmol/L respectively;of TG was 3.06/2.19,3.57/1.73,3.17/2.74,2.95/3.06 and 2.34/2.75 mmol/L respectively;of HDL-C was 3.50/2.32,1.96/2.40,2.12/2.35,2.18/2.13 and 2.17/2.36 mmol/L respectively;of LDL-C was 3.80/3.82,4.50/3.90,4.40/4.20,4.80/4.70 and 4.40/4.90 mmol/L respectively.The levels of TC,TG and LDL-C in both groups were all above the rated standard of Advice for Defend and Treat Abnormal Serum Lipid.The detection rate of blood lipid abnormality in male/female group was as follows:TC 17.57%/14.78%,TG 26.78%/13.69%,HDL-C 1.26%/0.55% and LDL-C 24.69%/18.43%.Conclusion The survey reveals the situation of blood lipid abnormality for government officers in Zhongshan City is serious;and the condition of blood lipid abnormality has an important epidemiological significance.It is necessary to further investigate the factors affecting lipid abnormality for government officers in Zhongshan City.