金华市婺城区成人居民血脂异常率分析

Prevalence of dyslipidemia among adult residents in Wucheng district of Jinhua

目的了解金华市婺城区成人血脂异常现状。方法采用随机整群分层抽样的调查方法对婺城区18岁以上常住居民进行问卷调查,测量其血浆总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇,比较血脂异常情况。结果 599名成人中有301名血脂异常,血脂异常检出率为50.25%。其中190名混合型高脂血症患者,混合型高脂血症的检出率为31.71%。不同年龄段的成人TC异常检出率、LDL-C异常检出率及不同性别TC异常检出率差异有统计学意义(P<0.01)。成人男性居民血脂异常患病率为50.76%,女性为49.85%,差异无统计学意义(P>0.05)。成人居民18~、30~、40~、50~、60~和70~岁各年龄段居民血脂异常患病率分别是29.03%、42.37%、51.43%、55.7%、54.3%和46.15%,总患病率随年龄呈现中间高两头低趋势(P<0.01)。结论婺城区成人总血脂异常率与报道相近,但混合血脂异常率明显高于文献报道的水平,值得关注。

Objective To understand the prevalence of dyslipidemia among adult residents in Wucheng district. Methods A random cluster stratified sampling was adopted and questionnaire survey was conducted among the residents aged over 18 in Wucheng. Their total plasma cholesterol,triglycerides,high-density lipoprotein cholesterol,low density lipoprotein cholesterol were tested for comparing their dyslipidemia. Results There were 301 people with dyslipidemia from 599 residents with the detection rate of 50. 25% in Wucheng district. 190 of them with mixed hyperlipemia,the detection rate of mixed hyperlipidemia was 31. 71%. The differences in the detection rates of TC anomaly,LDL-C abnormal in different age stages and TC anomaly in gender had statistically significant（ P〈0. 01）. Prevalence of dyslipidemia for adult male residentsis was 50. 76%,and that for female was 49. 85% without statistical significance（ P〉0. 05）. The rates of dyslipidemia among the residents in group of aged 18 ~,30 ~,40 ~,50 ~,60 ~ and 70 ~ were 29. 03%,42. 37%,51. 43%,55. 7%,54. 3% and 46. 15% respectively. Total prevalerce with age showed a trend of high in the middle and low in the twoeds（ P〈0. 01）. Conclusion The dyslipidemia rate among adult residents in Wucheng is consistent with the literature,but mixed dyslipidemia rate is significantly higher than the levels reported in literature,it is worthy of attention.