新疆维吾尔族成人血脂异常及其影响因素分析

Distribution and influencing factors of dyslipidemia in Uygur adults

选取新疆喀什地区≥18岁维吾尔族居民3442人进行问卷调查和身体检查，采集清晨空腹静脉血，测定甘油三酯、总胆固醇、低密度脂蛋白胆固醇（LDL—C）和高密度脂蛋白胆固醇（HDL-C）。调查人群总血脂异常患病率为43．3％，高甘油三酯血症、高总胆固醇血症、高LDL—C血症及低HDL—c血症患病率分别为9．15％、5．37％、2．53％和34．86％。男性血脂异常标化患病率为53．4％，高于女性的33．9％（Y。119．22，P〈0．01）；多因素logistic回归分析显示，单身（0R=1．414，95％c，1．150～1．740）、超重（OR=1．592，95％C11．327～1．909）和腹型肥胖（OR=1．271，95％C11．029～1．569）是血脂异常的危险因素：女性（OR=0．371，95％C10．316～0．437）与奶茶饮用（OR=0．611，95％C10．391～0．954）是血脂异常的保护因素。

Three thousand four hundred and forty-two Uygur residents in Kashgar over 18 years were enrolled. Fasting blood triglycerides, total cholesterol, low-density lipoprotein-cholesterol （LDL-C）, and high- density lipoprotein-cholesterol （HDL-C） were determined. Survey questionnaire and physical examination were performed. The prevalence of dyslipidemia was 43. 3%, and the residents of hypertriglyceridcmia, high total cholesterol, high LDL-C, and low HDL-C were 9. 15%, 5. 37%, 2. 53%, and 34. 86%, respectively. The prevalence of dyslipidemia in males was 53.4% , being higher than that in females （33.9% , X2 = 119.22, P 〈 0.01 ）. Multivariate Logistic regression analysis showed that bachelordom （ OR = 1. 414, 95% CI 1. 150-1. 740 ） , overweight（ OR = 1. 592, 95 % CI 1. 327-1. 909 ） , and abdominal obesity （ OR = 1.271,95 % C1 1. 029-1. 569 ） were risk factors of dyslipidemia; feminine sex （ OR = 0.371,95 % CI 0.316-0. 437 ） and milk tea drinker （ OR = 0.611, 95% C10. 391-0. 954 ） were protective factors.