观察绍兴市部分健康成人血脂谱的思考

Thinking of dynamic observation on blood lipid spectrum in healthy adults in Shaoxing city

目的:动态观察绍兴市区健康体检成人血脂水平的变化,探讨其变化特点及应对措施。方法:以绍兴市区35164名18岁～95岁健康体检者(男性21920例,女性13244例)为调查对象,分4个年龄组(QN、ZN、LQ和LN组)按血脂测定标准化方法测定TC、TG、HDL-C及LDL-C。结果:高TC和高LDL-C居首(2005年36.0%和40.9%,2010年34.1%和24.8%),女性稍高于男性,2010年LDL-C增高有下降趋势(P<0.05),高TG居第2位(2005年27.1%,2010年28.8%);TC、TG及LDL-C变化特点是2005年和2010年有随年龄增加而增高的趋势LQ及LN组明显高于QN、ZN组;女性增高更明显,男性增高有下降趋势,在LN组有明显降低;HDL-C变化是2005年男性仅LN组明显高于其余3组,女性则QN组明显低于其余3组。结论:对社区人群应注意合理膳食、加强锻炼及综合防治的健康教育,必要时服调脂药,是干预血脂增高,降低高血脂危害性的有效途径。

Objective：To dynamically observe changes of blood lipid levels in healthy adults in Shaoxing city,and explore its characteristics and countermeasures. Methods： Thirty- five thousand, one hundred and sixty- four peo- ple （18 -95 years old, 21920 males and 13244 females） in Shaoxing urban area had taken part in the experiment, and they were divided into 4 age groups （QN, ZN, LQ and LN groups） to detect the total cholesterol （TC） , triglye- erides （TG） , high density lipoprotein - cholesterol （ HDL - C） and low density lipoprotein - cholesterol （ LDL - C ） levels according to the standardized methods for determining lipid. Results： The levels of TC and LDL - C ranked top（36.0% and 40.9% in 2005, 34.1% and 24.8% in 2010） , which were higher in female than those in male. In 2010, LDL - C level increase showed a downtrend（P 〈 0.05） , TG level went to the second （27.1% in 2005, 28.8% in 2010. The levels of TC, TG and LDL - C increased with age in 2005 and 2010, which showed higher levels in LQ, LN groups than those in QN, ZN groups, and women showed more obvious uptrend, while the increase in male decreased, especially in LN group. In 2005, HDL - C level of male in LN group was significantly higher than that in other three groups, while that of female was lowest in QN group. Conclusion： The community should pay attention to a reasonable diet, more exercise and the health education of integrated management, and it is an ef- fective way to intervene blood lipid increases and to reduce the hyperlipemia harmfulness. Furthermore, lipid regula- ting drugs can he taken when necessary.