2017年广西35岁及以上城乡居民血脂异常现况

Status of dyslipidemia in Guangxi urban and rural residents aged 35 years and older in 2017

目的分析2017年广西35岁及以上城乡居民血脂异常患病率、知晓率、治疗率及未确诊血脂异常人群的血脂异常检出率情况。方法依托广西某三甲医院2017年下乡体检,纳入6081例年龄≥35岁的研究对象,采用问卷调查和医学体检收集性别、年龄、城乡分布情况、体重、身高、腰围等相关信息,并检测研究对象血脂4项水平。比较不同地区、性别和年龄段人群血脂异常患病率、知晓率,血脂异常知晓者中的血脂异常治疗率、控制率,分析血脂异常的相关危险因素,并比较已确诊血脂异常人群和检出血脂异常人群的血脂4项水平。结果2017年广西≥35岁人群的血脂异常患病率为33.1%,城镇高于农村、男性高于女性(均P<0.05),但不同年龄组差异无统计学意义(P>0.05);血脂异常知晓率为15.7%,城镇高于农村、女性高于男性、50~75岁年龄段高于35~49岁年龄段(均P<0.05);血脂异常治疗率为60.4%,农村高于城镇、50~75岁年龄段高于35~49岁年龄段(均P<0.05),但不同性别差异无统计学意义(P>0.05);血脂异常控制率为39.9%,农村高于城镇(P<0.05),但不同年龄段、不同性别之间差异无统计学意义(均P>0.05)。已确诊血脂异常人群的吸烟率、饮酒率均低于检出血脂异常人群(均P<0.05),而已确诊血脂异常人群的中心性肥胖、高血压和糖尿病患病率均高于检出血脂异常人群(均P<0.05)。检出血脂异常人群的总胆固醇、三酰甘油、LDL-C均高于已确诊血脂异常人群(均P<0.05)。结论2017年广西城乡居民血脂异常患病率及检出率较高,而知晓率与治疗率偏低,应加大健康体检力度,加强血脂异常健康教育工作。

Objective To analyze the prevalence rate,awareness rate,and treatment rate of dyslipidemia in Guangxi urban and rural residents aged 35 years and older in 2017,as well as the detection rate of dyslipidemia in unidentified dyslipidemia population.Methods A total of 6081 subjects aged 35 years and older were enrolled from a physical examination provided by a Guangxi tertiary first-class hospital in 2017,and their relevant data of gender,age,distribution of urban and rural cases,weight,height,and waist circumference were collected from a questionnaire survey and a medical physical examination,and the levels of four indicators of blood lipids were detected in the subjects.The prevalence rate and awareness rate of dyslipidemia,as well as the treatment rate and control rate of dyslipidemia of subjects who were aware of dyslipidemia,were compared between individuals of different regions,between males and females,or between individuals of different age groups,the relevant risk factors for dyslipidemia were analyzed,and the levels of four indicators of blood lipids were compared between population with confirmed dyslipidemia and those with a blood lipids level beyond the normal range.Results In 2007,the prevalence rate of dyslipidemia was 33.1%among residents aged 35 years and older in Guangxi,was higher in urban areas than in rural areas,and higher in males than in females(all P<0.05),but showing no statistically significant difference between different age groups(P>0.05).The awareness rate of dyslipidemia was 15.7%,was higher in urban areas than in rural areas,and higher in females than in males;and the 50-to-75-year age group got a higher rate than the35-to-49-year age group(all P<0.05).The treatment rate of dyslipidemia was 60.4%,was higher in rural areas than in urban areas,and higher in the 50-to-75-year age group than in the 35-to-49-year age group(all P<0.05),but showing no statistically significant difference between males and females(P>0.05).The control rate of dyslipidemia was 39.9%,and was higher in rural areas than in urban areas(P<0.05),but showing no statistically significant difference between different age groups,or between males and females(all P>0.05).People with confirmed dyslipidemia had lower smoking rate and drinking rate,along with higher prevalence rates of central obesity,hypertension,and diabetes,compared to those with a blood lipids level beyond the normal range(all P<0.05).Total cholesterol,triglyceride,and LDL-C in individuals with a blood lipids level beyond the normal range were higher than those in individuals with confirmed dyslipidemia(all P<0.05).Conclusion Guangxi urban and rural residents experience slightly higher prevalence rate and detection rate of dyslipidemia in 2017,together with lower awareness rate and treatment rate.It is necessary to work harder in health checkup and strengthen health education concerning dyslipidemia.