南京江北地区440例围绝经期女性血脂调查

Survey on blood lipids in 440 perimenopausal women in Jjiangbei district of Nanjing

目的了解南京江北地区部分围绝经期妇女血脂情况及血脂异常控制达标情况。方法选取2000年1月至2014年1月年龄在45～55岁于南京江北人民医院住院的患者共640例（其中女440例，男200例）及60岁以上女性200例，记录其三酰甘油（TG）、总胆回醇（Tc）、低密度脂蛋白胆目醇（LDL-C）、高密度脂蛋白胆目醇（HDL-C），合并疾病、血压血糖控制及调脂药物应用情况。结果围绝经期女性血脂异常患病率为23．40％，血脂控制达标率为40．80％；围绝经期女性TG、LDL-C、TC平均水平比同年龄段男性高，HDL-C较同年龄段男性低，血脂异常患病率比男性高。60岁以上女性血脂平均水平较围绝经期女性血脂平均水平高。结论围绝经期女性血脂高于同龄男性，血脂异常发生率较60岁以上女性低，控制达标率低。

Objective To understand the blood lipids condition of perimenopausal women,control and standard-reaching situ- ation of dyslipidemia. Methods Six hundred and forty inpatients aged 45-55 years old （including 400 females and 200 males） ad- mitted in the Jiangbei People＇s Hospital from January 2000 to January 2014 and 200 females aged over 60 years were selected. TG, TC LDL-C, HDL-C, complicating diseases, control of blood pressure and blood lipids, and the lipid-regulating drugs application situ- ation were recorded. Results The prevalence rate of dyslipidemia in perimenopausal women was 23. 40%. The blood lipids control standard-reaching rate was 40. 80%;the average levels of TG,LDL-C and TC in the perimenopausal women were higher than those in the men of the same age,while the average level of HDL-C was lower than that in the men of the same age. The prevalence rate of dyslipidemia was higher than that in the men. The average lipid level in the females aged over fi0 years were higher than that of the perimenopausal women. Condnsion The lipid level of perimenopausal women is higher than that in the men at the same age. The prevalence rate of dyslipidemia is lower than that in the females aged over 60 years,and the control standard-reaching rate is lower.