健康体检人群中不同年龄段高脂血症与颈动脉硬化检出率的相关性分析

Correlation analysis of the detection rate of hyperlipidemia and carotid atherosclerosis in different age groups in healthy people

目的探讨健康体检人群中不同年龄段高脂血症与颈动脉硬化检出率的相关性。方法选择2015年1月~2016年7月来我院参加健康体检的机关、学校、企业公司等单位共36264例。相应体检项目包括血脂常规、血脂全套、生化全套及颈动脉B超。检查项目和人次:其中36264例均进行血脂检测,其中4457例进行颈动脉B超检查。比较不同性别不同年龄段体检人群血脂异常检出率及颈动脉B超检查异常检出率情况。结果 36264例体检中血脂增高16057例,其中30~39岁年龄段男性血脂增高检出率显著高于女性,差异显著(P<0.05)。血脂异常的16057例中,颈动脉B超检查发现颈动脉内中膜增厚、颈动脉内中膜增厚伴斑块、颈动脉粥样硬化及颈动脉狭窄共计1617例。<40岁、50~59岁、>60岁的男性颈动脉B超结果异常人群检出率显著高于女性,差异显著(P<0.05)。结论高血脂与颈动脉硬化发生密切相关,高血脂是颈动脉硬化发生的重要因素之一,对体检人群应重视降低血脂水平,有利于减少或降低颈动脉硬化的发生。

Objective To investigate the correlation between the detection rate of hyperlipidemia and carotid atherosclerosis in different age groups in healthy people. Methods 36264 people from government units, schools and corporate companies who participated in physical examination in our hospital from January 2015 to July 2016 were se- lected; the corresponding physical examination items included routine examination of blood lipid, full examination of blood lipid, full biochemical examination and carotid artery B ultrasound. Examination items and the number of people： 36264 people were given blood lipid examination, and 4457 people were given carotid B ultrasound. The detection rate of dyslipidemia and the detection rate of abnormal uhrasonography of carotid artery in different genders and different age groups were compared. Results Among 36264 people, the blood lipid was increased in 16057 people; the detection rate of hyperlipidemia in the males aged 30-39 was significantly higher than that in females, and the difference was significant （P〈0.05）. Among the 16057 people with dyslipidemia, carotid B ultrasonography found carotid intima thick- ening, carotid intima thickening complicated with plaque, carotid atherosclerosis and carotid artery stenosis were in a total of 1617 people. The detection rate of abnormal carotid B ultrasonography in males of 〈40 years old, 50-59 years old and 〉60 years old was significantly higher than that in females, and the difference was significant （P〈0.05）. Con- clusion Hyperlipidemia is closely related to the occurrence of carotid atherosclerosis. Hyperlipidemia is one of the im- portant factors in the occurrence of carotid atherosclerosis. Physical examination should pay attention to lowering blood lipid levels, which is conducive to reducing the occurrence of carotid atherosclerosis.