德阳地区体检人群血脂水平及特点分析

Analysis of blood lipid levels and characteristics in physical examination population of Deyang area

目的了解德阳地区人群血脂水平、分布特点以及血脂异常率的情况,为该地区心血管疾病的防控提供理论依据。方法收集2017年10月至2018年10月德阳地区32487例健康体检人员的血脂资料,并作详细分层统计分析。结果德阳地区男女性血脂总体水平均不同。男性血脂水平(TG、TC、LDL-C)总趋势是随年龄增长先升高后降低;女性血脂水平(TG、TC、LDL-C)在70岁前总趋势是随年龄增长而升高;HDL-C水平随年龄增长变化幅度相对较小。总人群血脂异常检出率从高到低依次为高TG血症(15.53%)、低HDL-C血症(12.47%)、高TC血症(5.74%)、高LDL-C血症(3.22%);中老年男性血脂异常主要表现为高TG血症、低HDL-C血症,中老年女性血脂异常主要表现为高TC血症、高TG血症;70岁以上人群血脂异常检出率有所下降。结论德阳地区人群血脂水平存在明显的性别差异和年龄差异,血脂异常的分布情况差异也较大,应针对中老年男性和绝经后女性积极采取血脂干预措施,降低心血管疾病发生风险。

Objective To understand the blood lipid levels,distribution characteristics and dyslipidemia rate among the population in Deyang area to provide a theoretical basis for the prevention and control of cardiovascular diseases in this area. Methods The blood lipid data of 32 487 people undergoing the healthy physical examination in Deyang area from October 2017 to October 2018 were collected and conducted the hierarchical statistical analysis in detail. Results The overall levels of male and female blood lipids in Deyang area were different.The general trend of male blood lipid levels (TG,TC,LDL-C) was increased at first then decreased with age increase;which of female blood lipid level (TG,TC,LDL-C) before 70 years old was increased with age increase;the change amplitude of HDL-C level was relatively small with age increase.The overall detection rates of total population dyslipidemia from high to low were hypertriglyceridemia (15.53%),low HDL-C ( 12.47 %),high TC (5.74%),and high LDL-C (3.22%);the middle-aged and elderly males with dyslipidemia were mainly characterized by hypertriglyceridemia and low HDL-C,while the middle-aged and elderly females characterized by high TC and high TG;the detection rate of dyslipidemia in people over 70 years old was decreased. Conclusion The significant gender difference and age difference exist in blood lipid level among the population in Deyang area,and the difference of dyslipidemia distribution situation is also great.The blood lipid intervention measures should be taken actively for middle-aged and elderly males and post-menopausal females to reduce the risk of cardiovascular disease occurrence.