摘要
目的:了解青浦区金泽镇社区65岁以上老人血脂异常的流行特征,更好地指导社区开展老年人血脂防控工作。方法:以上海青浦区金泽镇5 089名65岁及以上老年人作为研究对象,其中男性2 230人,平均年龄(73.24±6.36)岁;女性2 859人。平均年龄(73.36±6.26)岁。采集空腹血检测总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-c)、低密度脂蛋白胆固醇(LDL-c)。结果:在5 089名老年人中检出血脂有异常者1 193例,血脂异常检出率为23.44%。其中男性血脂异常检出率为22.02%,女性血脂异常检出率为24.55%,差异有统计学意义(P <0.05)。血脂异常检出率随着年龄增长而呈下降趋势(P <0.05)。高TC型、高TG型、混合型和低HDL-c型的检出率分别为1.32%、3.28%、9.61%、6.39%。结论:应加强老年人血脂异常的监控和防治工作,尤其应以65岁至74岁老年女性为重点目标人群,加强对混合型血脂异常者的危险因素评估和治疗。
Objective: To understand the epidemiological characteristics of dyslipidemia in the elderly over 65 years old in Jinze Community of Qingpu District, and to better guide the community to carry out blood lipid prevention and control work for the elderly. Methods: Five thousand and eighty-nine elderly people aged 65 years and over in Jinze Community of Qingpu District, Shanghai, were selected as subjects, of whom 2 230 were males, with an average age of(73.24±6.36) years;2 859 were females, with an average age of(73.36±6.26) years. Fasting blood was collected to detect total cholesterol(TC), triglyceride(TG), high density lipoprotein cholesterol(HDL-c), and low density lipoprotein cholesterol(LDL-c). Results: Among the 5 089 elderly people, 1 193 cases had abnormal blood lipids, and the detection rate of dyslipidemia was 23.44%. Among them, the detection rate of male dyslipidemia was 22.02%, and that of female dyslipidemia was 24.55%, and the difference was statistically significant(P<0.05). The detection rate of dyslipidemia decreased with age(P<0.05). The detection rates of high TC type, high TG type, mixed type and low HDL-c type were 1.32%, 3.28%, 9.61% and 6.39%, respectively. Conclusion: The monitoring and prevention of dyslipidemia in the elderly should be strengthened, in particular, the focus should be on older women aged 65 to 74, and the risk factor assessment and treatment of mixed dyslipidemia should be strengthened.
作者
蒋雪美
汪永锋
JIANG Xuemei;WANG Yongfeng(General Practice Department of Jinze Community Health Service Center of Qingpu District, Shanghai 201718, China)
出处
《上海医药》
CAS
2019年第18期48-49,59,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
血脂异常
老年人
流行特征
dyslipidemia
elderly people
epidemic characteristics