长治市某体检中心18～45岁体检人群高血脂现状及危险因素分析

Analysis of Detection Rate and Risk Factors of Dyslipidemia in Aged 18 ～ 45 in Changzhi

目的:探讨长治市18~45岁体检人群高血脂现状并对其危险因素进行分析,为防治人群高血脂的发生提供参考依据。方法:选取健康体检的2900名体检者为研究对象,并收集该人群的一般资料、体格检查和实验室检测结果;采用多因素逐步Logistic回归分析高血脂的危险因素。结果:2900名研究对象中高血脂患病人数为525名,总体高血脂患病率为18.10%,男女高血脂患病率分别为31.66%、8.05%,男性高于女性,差异有统计学意义;不同年龄段高血脂患病率差异有统计学意义,年龄越大,高血脂患病率越高(P<0.05);多因素逐步Logistic回归分析显示吸烟(OR=1.689)、腹型肥胖(OR=1.049)、收缩压升高(OR=1.013)、空腹血糖升高(OR=1.602)、年龄(OR=1.050)和性别(OR=1.370)是高血脂的危险因素。结论:该人群高血脂问题严峻,应通过健康教育提高当地高危人群对高血脂的认识,并通过合理膳食、适量运动降低高血脂患病率及心脑血管疾病的发生。

Objective:To investigate the current status of hyperlipemia in aged 18~45 physical examination population in Changzhi City and analyze its risk factors,so as to provide a reference for the prevention and treatment of hyperlipemia in the population.Methods:A total of 2900 medical examinees were selected as the research object,and the general information,physical examination and laboratory test results of the population were collected.Multivariate Logistic regression was used to analyze the risk factors of hyperlipemia.Results:The prevalence of hyperlipemia in this group was 525,and the overall prevalence of hyperlipemia was 18.10%.The prevalence of hyperlipemia in men and women were 31.66%and 8.05%.The prevalence of hyperlipemia in men was higher than that in women.The difference in the prevalence of hyperlipemia was statistically significant at different ages.The older the patient,the higher the hyperlipemia rate(P<0.05);Multivariate Logistic regression analysis showed that smoking(OR=1.689),overweight(OR=1.049),and hypersystolic pressure(OR=1.013),diabetes(OR=1.602),age(OR=1.050)and gender(OR=1.370)were the risk factors of dyslipidemia.Conclusion:The problem of hyperlipemia in this population is severe.It is necessary to strengthen the understanding of hyperlipemia for high-risk group in Changzhi.We should prevent and control hyperlipemia and reduce the occurrence of cardiovascular and cerebrovascular diseases through health education,reasonable diet and proper exercise.