摘要
目的探讨温州市江滨社区中老年人血脂、血糖异常的发生率和异常流行趋势,为社区慢性病健康管理提供依据,以采取预防及保健措施。方法对江滨社区2218例40岁以上中老年人进行空腹血糖(GLU)、甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)检测,并进行统计分析。结果社区中老年人TG、TC、HDL-C、LDL-C和GLU水平分别为1.46(1.05~2.03)mmol/L、5.43(4.74~6.24)mmol/L、1.41(1.21~1.64)mmol/L、3.36(2.85~3.90)mmol/L和5.80(5.30~6.50)mmol/L;高TG、高TC、高LDL-C、低HDL-C血症患病率分别为37.60%、59.24%、62.76%、9.60%,血脂异常患病率为70.51%;高GLU患病率为34.40%,高GLU患者血脂异常患病率为69.07%,呈现高TG、低HDL-C特征。结论温州市江滨社区中老年人血脂、血糖异常率较高且相互关联,并呈现不同的年龄性别差异,应及早制定个体化健康管理方案,定期进行健康体检,加强社区健康教育,倡导合理膳食和适当运动,预防与控制心脑血管疾病发生。
Objective To investigate the incidence and unusual tendency of blood lipids and blood glucose abnormalities in middle-aged and elderly people in Jiangbin Community of Wenzhou,and to provide basis for community health management of chronic diseases to take preventive and health care measures.Methods Fasting blood glucose(GLU),triglyceride(TG),total cholesterol(TC),high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C)in 2218 samples of middle-aged and elderly people in Jiangbin Community were detected and statistical analysis.Results The levels of TG,TC,HDL-C,LDL-C and GLU in the middle-aged and elderly people were 1.46(1.05-2.03)mmol/L,5.43(4.74-6.24)mmol/L,1.41(1.21-1.64)mmol/L,3.36(2.85-3.90)mmol/L and 5.80(5.30-6.50)mmol/L respectively;the prevalence of high TG,high TC,high LDL-C and low HDL-C were 37.60%,59.24%,62.76%,9.60%respectively,and the prevalence of dyslipidemia was 70.51%;the prevalence of high GLU was 34.40%,and the prevalence of dyslipidemia was 69.07%in patients with high GLU,showing high TG and low HDL-C.Conclusion The abnormalities of blood lipids and blood glucose in the middle-aged and elderly people in Jiangbin Community in Wenzhou are high and interrelated,showing difference in age and gender.Individualized health management plans should be formulated as soon as possible,moreover regular health checkups should be carried out,community health education should be strengthened,and reasonable health promotion should be advocated.Diet and appropriate exercises are recommended to prevent and control cardiovascular and cerebrovascular diseases.
作者
叶晓丹
谢佳颖
叶映月
黄晓彤
余玲玲
YE Xiao-dan;XIE Jia-ying;YE Ying-yue;HUANG Xiao-tong;YU Ling-ling(Jiangbin Community Health and Family Planning Service Center of Lucheng District,Wenzhou,Zhejiang 325003,China;不详)
出处
《中国卫生检验杂志》
CAS
2020年第7期880-883,887,共5页
Chinese Journal of Health Laboratory Technology
关键词
血脂
血糖
中老年
健康管理
Blood lipids
Blood glucose
Middle-aged and elderly
Health management