北京市部分老年男性体检人群血脂状况分析及管理

The serum lipid situationanalysis and managementof theaged male check-uppopulation in some Beiijing

目的分析老年男性体检人群中公务员与银行员工血脂检测结果，探究相应的健康管理措施。方法选取2013年在北京某医院体检的465名老年男性公务员，分析其血脂、脂肪肝、超重及调脂药物应用等情况，与同期在本院体检的同年龄段老年男性银行员工相比较。结果老年男性公务员低密度脂蛋白胆固醇升高的检出率显著低于银行员工，体检后咨询率以及调脂药物服用率均高于银行职工（P ＜0．01）；老年男性公务员与银行职工在脂肪肝、超重和肥胖的检出率方面差异无统计学意义，高三酰甘油检出率在70～79岁、≥80岁年龄段也差异无统计学意义。结论男性老年人积极控制低密度脂蛋白胆固醇的升高，可通过饮食、运动等健康管理，以降低超重、肥胖和脂肪肝的发病率。

Objective To analyze serum lipid levels of civil servants and bank staff in health check-upaged males and explore the relevant health management measure.Methods A total of 465 aged male civil servants checked-up in someBeijing hospital in 2013 were involved.The serum lipid,fatty-liver,overweight and the administer tionof lipid-modulating drug were investigated and compared with that of aged male bank staff simultaneously checked-up.Results The incidence of elevated LDL-Cfor aged male civil servants was significant lower than that in the bank staff,and the consulting rateafter the check-up and taking rate of lipid-modulating drug for the former was higher than the latter（P 〈0.01）.The occurrence of fatty-liver and overweight had no magnificent difference between aged male civil servants and bank staff.Conclusions The aged male civil servants positively controled the LDL-C level effec-tively.The health management measure,such as diet and exercise reduce the occurrence of overweight,obesity and fat-ty-liver.