2002年上海市部分居民血脂现况分析

目的]通过了解居民血脂异常、胆固醇边缘升高、高胆固醇血症、高三酰甘油血症、低密度脂蛋白血症和混合型高脂血症的现患率,为进一步研究和制订预防控制血脂异常发生的策略提供科学依据。方法]采用分层多阶段整群随机的方法调查上海地区居民血脂现况,并根据卫生部血脂异常标准进行判断和评价。结果]①上海居民血脂异常率为11.96%,其中男性为12.85%,女性为11.12%,市区为11.79%,郊区为12.29%,血脂异常患病率随年龄的上升而增高,除市区女性最高在60岁~年龄组外,市区男性和郊区男女组最高均在40岁~年龄组;②胆固醇边缘增高现患率2.88%,女性高于男性,市区高于郊区,市区男性30岁~和60岁~年龄组无差异;③不同类型血脂异常现患率分别为:高胆固醇血症2.47%(女性高于男性、市区高于郊区,以60岁~年龄组占比例大),高三酰甘油血症5.74%(市区高于郊区,以40岁~、60岁~年龄组占比例大),低密度脂蛋白血症5.35%(郊区高于市区),混合型高脂血症1.32%(以60岁~年龄组占比例大)。结论]上海居民血脂异常率为11.96%,男女性别和市、郊两地间差别不大,现患率随年龄的上升而增高,主要以40岁~年龄组发病居多;市区男性中青年胆固醇边缘增高现患率呈现明显上升趋势;不同类型的血脂异常现患率以中、老年为主。

Analysis on blood lipid level in three residential districts of Shanghai in year 2002

Objective]By understanding the prevalence of abnormal blood lipids level,borderline high cholesterol level,hypercholesterolemia,hypertriglyceridemia,low density lipoproteinemia and mixed hyperlipoproteinemia among the residents,to offer a scientific evidence for further research and formulation of tactics for prevention and cure of abnormal blood lipids level.Methods]A stratified multi-stage cluster random sampling survey was performed to know the present situation of blood lipids level among the residents and the standard of the Ministry of Public Health on abnormal lipid profile was used to estimate the lipid profiles in Shanghai.Results](1) The prevalence of abnormal blood lipids level among the residents in Shanghai was 11.96%.It was 12.85% among man,11.12% among women,11.79% in the urban area,and 12.29% in the suburb.The abnormal rate increaseds with age.The highest groups was in 40 years and over age groups in the urban area males and suburb men and women.But the urban women of 60-years and over age group had the highest prevalence;(2) The prevalence rate of borderline high cholesterolemia was 2.88%,it was higher among woman than among man,higher in the urban than in the suburb area..Difference was not significant between the 30 years old age groups and the 60 years old groups in the city;(3) The prevalence of various types of abnormalities were: hypercholesterolemia was 2.47%(higher among women than among men,higher in the urban area than in the suburb,aged 60 years and over groups had the largest percentage),hypertriglyceridemia was 5.74%(it was higher in the urban area than in the suburb,the 40,60 years old age groups had the largest percentage),low densiby lipoproteinemia was 5.35%(it was higher in the suburb than in the urban),mixed hyperlipoproteinemia was 1.32%(60 years old age groups had the largest percentage).Conclusion]The prevalence of abnormal blood lipids level among the residents in Shanghai was 11.96%.Difference was not significant between male and female or urban area and suburb.The prevalence rate increases significantly by age.The 40 years and over age groups had the highest prevalence;(2) Prevalence rate of borderline hypercholesterolemia among young and middle-aged man in the city showed ascending trend.