新疆阜康地区哈汉两民族血脂含量及有关影响因素的研究

The study of serum lipids and factors affecting lipids level of Kazak and Han in rural area of Fukang in Xinjiang

为了研究不同民族间血脂水平的差异及其影响因素，我们抽样调查新疆阜康地区哈、汉两民族７５０名男女血脂水平及有关影响因素。结果显示：哈族血清总胆固醇（ＴＣ）、高密度脂蛋白固醇（ＨＤＬ－Ｃ）及低蜜度脂蛋白胆固醇（ＬＤＬ－Ｃ）水平显著高于汉族（Ｐ＜０．００１），而甘油三酯（ＴＧ）水平及动脉粥样硬化指数（ＡＩ）显著低于汉族（Ｐ＜０．０５）。哈、汉两民族ＨＤＬ－Ｃ随年龄变化趋势存在显著差异。吸烟与ＨＤＬ－Ｃ呈负相关，与ＴＧ呈正相关；肥胖对两性的ＨＤＬ、ＬＤＬ均有影响，女性尤其显著；多因素分析显示舒张压与ＴＣ、ＬＤＬ－Ｃ相关。结论：哈、汉两民族间血脂水平存在显著差异，且年龄、吸烟、体重指数、舒张压等均对血脂代谢产生影响。

The aim of this study was to investigate the difference of the lipids level of the different races and the affecting factors. A total of 750 subjects of Kazak and Han were included. Compared with Han, Kazak had significantly higher average level of serum total cholesterol (TC), LDL and HDL C ( P <0.001), but lower level of triglyceride (TG) and the atherosclerosis index (AI) ( P <0.05). There were significant differences in the relation of HDL to age. Body mass index (BMI) affected the levels of HDL and LDL of both sex especially the women′s. Smoking was negatively associated with level of HDL, and positively associated with level of TG. There was negative relationship between smoking and the level of HDL, but positive relation to the levels of TG. There was positive relationship between diastolic blood pressure (DBP) and the levels of TC, LDL. In conclusion, there were significant differences between Kazak and Han in the levels of serum lipids. Age, smoking, BMI and DBP also affected the serum lipid metabolism.