高血脂相关危险因素分析

Risk factors analysis of hyperlipemia

目的了解我院检验科进行健康体检者高血脂筛查情况及其探讨高血脂的危险因素,为高血脂防治提供科学依据。方法选取我院检验科进行健康体检者为调查对象,采用手检分卡法和统计学方法(卡方检验)。结果①男、女高血脂症总检出率分别为42.57%和32.34%;②61～70岁组高脂血症检出率高于其他年龄组,他们是高脂血症的易患人群;③不同年龄组、性别高脂血症的检出率差异有统计学意义,P<0.05。高胆固醇血症的检出率最高为18.08%,高三酰甘油血症的检出率为11.91%,列第二,混合型高脂血症的检出率为7.39%,最低。三者的差异有统计学意义,(=12.79,P<0.05),且各型的检出率男性大于女性;④经Logistic回归分析,高脂血症危险因素是年龄、BMI、饮酒、高热能膳食摄入、吸烟;⑤高血脂患者在热量、蛋白质、脂肪、维生素A摄入量等方面均明显高于正常人群,P<0.01,高血脂患者维生素C摄入量明显低于正常人群,P<0.01;⑥热量摄入、蛋白质、脂肪与高血脂呈正相关,维生素C与高血脂呈负相关。结论应针对35岁以上的人群进行高脂血症的预防,大力开展健康教育,对患者定期进行复检,追踪观察,以降低高脂血症的发病率。控制或消除当地高血脂的危险因素,早发现、早治疗高血脂问题凾待解决。

Objective To understand my hospital inspection department of health examination high blood lipids detection and high lipid risk factors,prevention and to provide scientific basis for high blood fat.Methods In our hospital clinical laboratory health examination is investigation object,adopts the hand sorting card method and statistical method（chi-squared test）.Results ①The male,the female hyperlipemia respectively 42.57% and 32.34%.②61~70 years old group of hyperlipidemia detection rate than other age groups,they are of hyperlipidemia in susceptible population.③The different age groups,gender hyperlipidemia detection rate had significant difference（P0.05）.Hypercholesterolemia in the highest detection rate was 18.08%,hypertriglyceridemia detection rate was 11.91%,row second,mixed hyperlipidemia detection rate was 7.39%,the lowest.Three there were significant differences（=12.79,P 0.05）,and each type detection rate in males than in females.④The Logistic regression analysis,risk factors of hyperlipidemia were age,BMI,alcohol consumption,dietary intake,smoking,high heat energy.⑤The patients with high blood lipid,protein,fat,in the heat of vitamin A intake were higher than those of normal people（P0.01）.Patients with high blood lipid intake of vitamin C was significantly lower than normal（P0.01）.⑥The intake of calories,proteins,fat and high blood lipids were positively associated with high blood lipids,vitamin C negative correlation.Conclusion It should be directed to persons over the age of 35 for the prevention of hyperlipidemia in,vigorously carry out health education for patients,periodic review,observation,in order to reduce the incidence of hyperlipidemia.To control or eliminate local high lipid risk factors,early detection,early treatment of hypertensive damage to solve problems.