某市直机关人员血脂水平及分布特征

Plasma Lipid Level and Incidence of Dyslipidemia in Staff Directly Under the Municipal Authorities of A City

目的 探讨某市直机关人员的血脂水平和分布特征.方法 采用分层整群抽样的方法,对菏泽市直机关25～72岁工作人员20000名作为调查对象,对其进行问卷调查、体格检验及血脂检测.将调查对象分为25～35岁组、36～45岁组、46～55岁组和56～65岁组、66～75岁组.分析血脂异常情况及分布特征.结果 总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇水平在不同年龄人群之间的差异均有统计学意义（P均＜0.01）.36岁及以上人群各项血脂指标均显著高于25～35岁组（P均＜0.01）.男性的胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇水平均高于女性（P均＜0.01）.男性的血脂异常患病率显著高于女性（51.14％比12.03％,P＜0.01）.高胆固醇血症、高甘油三酯症、低高密度脂蛋白胆固醇血症和高低密度脂蛋白胆固醇血症的患病率均随着年龄的增加而升高,趋势性检验显示差别均有统计学意义（P均＜0.01）.结论 菏泽市直机关单位职工血脂异常的患病率较高.男性血脂异常患病率高于女性,36岁及以上职工的各项血脂指标均高于36岁以下职工.

Objeetive To examine the plasma lipid level and distribution in staff directly under the municipal au- thorities of Heze. Methods By using cluster sampling method. 20000 persons in the municipal authorities of Heze aged 25 to75 were selected as target population from 2010 to 2012. We conducted questionnairesurwey ,physical and lab- oratory examinations including total cholesterol（TC）, triglyceride（TG）. High-density lipoprotein cholesterol（HDL-C） and low-density lipoprotein ehohsteml（LDL-C）.Persons were divided into five groups. Characteristic and distribution of dyslipidemia were analyzed. Results Total cholesterol（TC）, triglyeeride（TG）, high-density lipoprotein cholesterol （HDL-C）and low-density lipopmteiu cholesterol（LDL-C）were significantly different in various age group （all P〈0.01） TC, TG, HDL-C and LDL-C levels in the 36 years and over groups were all significantly higher than in the under 36 years old groups up（P〈0.01）. Levels in males were all significantly higher than in females. Conclusions The prevalence of dyslipidemia is high in staff directly under the municipal authorities of Heze. The incidence of dyslipidemia is high- er in males than in females and higher among the 36years and overpersons than that of under36 years old persons.