石河子及周边地区汉族与哈萨克族血脂调查分析

Investigation and Analysis of Serum Lipids of Hans and Kazakstans in Shihezi and the Outskirts

为了解汉族与哈萨克族血脂异常的患病现状和血脂水平,为人群中血脂代谢紊乱的防治提供依据,采用分层整群抽样方法,抽取石河子及周边西戈壁镇、牛圈子和博斯腾湖乡的汉族和哈萨克族常住居民共2504人进行现况调查,检测甘油三酯、血浆总胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇的水平,数据采用卡方检验t、检验和方差分析。结果表明:1)哈萨克族总胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇异常患病率依次为13.8%、11.0%、26.8%均分别高于汉族的9.4%、4.9%、9.2%(P<0.05),汉族甘油三酯异常患病率为31.7%高于哈萨克族的17.4%(P<0.05)。2)汉族甘油三酯、高密度脂蛋白胆固醇水平为1.60±1.08mmol/L、1.68±0.72mmol/L分别高于哈萨克族1.21±0.77mmol/L、1.15±0.46mmol/L(P<0.05);低密度脂蛋白胆固醇水平哈萨克族2.40±0.95mmol/L高于汉族2.00±0.9 5mmol/L(P<0.05);总胆固醇水平汉族4.42±1.32mmol/L与哈萨克族4.35±1.63mmol/L无差异。这显示哈萨克族是血脂异常患病的高发人群,尤其是哈萨克族LDL-C和HDL-C异常患病率明显高于汉族的,可能与该地区哈萨克族高血压高发有关。

Realizing the prevalent dyslipidemia and the levels of serum lipids in the races of the Hans and Kazakstans to provide evidences to prevent dyslipidemia. Methods Using stratifying and cluster sampling to sample 2504 inhabitants of Hans and Kazakstans from Shihezi and the town of Xigebi, Niujuanzi, Besitenghu, carrying out cross-sectional investigation, to detect the levels of TG, TC, LDL-C and HDL-C. Applying X^2 test, t test and ANOVA test for the data. Result The TC, LDL-C, HDL-C abnormality prevalence rate of Kazakstans is 13.8 %, 11.0%, 26.8 % which is higher than Hans＇ 9.4% ,4.9%, 9.2% （P 〈 0.05）. TC abnormality prevalence rate of Hans is 31.7 % which is higher than Kazakstans＇ 17.4% （P 〈 0.05）. 2）The level of TG and HDL-C of Hans is 1.60 ± 1.08mmol/L and 1.68 ± 0,72mmol/L which is higher than Kazakstan＇ 1.21 ± 0.77mmol/L, 1.15 ± 0.46mmol/L （ P 〈0.05）. The level of LDL-C of Kazakstans is 2.40 ± 0.95mmol/L which is higher than Hans＇ 2.00 ± 0.95mmol/L （ P 〈 0.05 ）. There is no difference between Hans＇ 4. 42 ± 1.32mmol/L and Kazakstans＇4.35 ± 1.63mmol/L in the level of TC. There is a high dyslipidemia prevalence rate in Kazakstans, in particular＇ the LDL-C and HDL-C abnormality prevalence rates are significandy higher than Hans, which may result in high incidence of hypertention of Kazakstans in this area.