健康体检中高脂血症发病情况与风险管理模式分析

Analysis of hyperlipidemia incidence and risk management model in health examination

目的了解健康体检中高脂血症的发病情况,分析健康体检中高脂血症发病情况与风险管理模式。方法选取2017年1—9月于梧州市红十字会医院接受健康体检的健康体检者2000例,统计不同性别、年龄段的高脂血症发病率。根据高脂血症检出情况将健康体检者分为高脂血症组562例、非高脂血症组1438例,比较两组体质指数(BMI)、空腹血糖、血压。分析BMI、空腹血糖、血压、性别、年龄等与高脂血症之间的相关性,再针对相关变量进行多元回归分析,明确高脂血症发生的影响因素。比较干预前后高脂血症患者血脂(总胆固醇、三酰甘油)、BMI、空腹血糖、收缩压、舒张压,并统计其心脑血管疾病发生率。结果2000例健康体检者经健康体质检查,共检出562例高脂血症,高脂血症发病率为28.10%。男、女患病率比较,差异无统计学意义(P>0.05)。年龄≥50岁者高脂血症发病率高于其他年龄段的发病率(P<0.05)。高脂血症组BMI、空腹血糖、收缩压、舒张压高于非高脂血症组(P<0.05)。高脂血症与BMI、空腹血糖、收缩压、舒张压、年龄呈正相关。BMI、空腹血糖、收缩压、舒张压、年龄是高脂血症发生的影响因素。干预后高脂血症患者总胆固醇、三酰甘油、BMI、空腹血糖、收缩压、舒张压低于干预前(P<0.05)。干预后高脂血症患者心脑血管疾病发生率为1.60%。结论高脂血症多发生于中老年人群,高脂血症的发生主要与其BMI、空腹血糖、血压等密切相关,针对高脂血症患者实施风险管理防控,可有效改善其整体健康水平,减少其心脑血管疾病的发生。

Objective To understand the incidence of hyperlipidemia in health examination,and analyze the incidence and risk management mode of hyperlipidemia in health examination.Methods 2000 healthy subjects who received physical examination in Hospital of Wuzhou Red Cross Society from January to September in 2017 were selected to analyze the incidence rate of hyperlipidemia in different gender and age groups.According to the detection of hyperlipidemia,healthy people were divided into hyperlipidemia group(562 cases)and non hyperlipidemia group(1438 cases).Body mass index(BMI),fasting blood glucose and blood pressure were compared between the two groups.The correlation between BMI,fasting blood glucose,blood pressure,gender,age and hyperlipidemia was analyzed,and then multiple regression analysis was carried out to identify the influencing factors of hyperlipidemia.Blood lipids(total cholesterol,triglyceride),BMI,fasting blood glucose,systolic blood pressure,diastolic blood pressure were compared before and after intervention,and the incidence of cardiovascular and cerebrovascular diseases was counted.Results Incidence rate of hyperlipidemia was 562 in 2000 healthy people who were examined by health quality inspection.The incidence of hyperlipidemia was 28.10%.There was no significant difference in the prevalence rate between male and female(P>0.05).The incidence rate of hyperlipidemia was higher in those aged 50 or above than incidence rate in other ages(P<0.05).BMI,fasting blood glucose,systolic and diastolic blood pressure in hyperlipidemia group were higher than those in non hyperlipidemia group(P<0.05).Hyperlipidemia was positively correlated with BMI,fasting blood glucose,systolic blood pressure,diastolic blood pressure and age.BMI,fasting blood glucose,systolic blood pressure,diastolic blood pressure and age were the influencing factors of hyperlipidemia.After intervention,the total cholesterol,triglyceride,BMI,fasting blood glucose,systolic blood pressure and diastolic blood pressure were lower than those before intervention(P<0.05).After intervention,the incidence of cardiovascular and cerebrovascular diseases in hyperlipidemia patients was 1.60%.Conclusion Hyperlipidemia mostly occurs in middle-aged and elderly people.The occurrence of hyperlipidemia is closely related to BMI,fasting blood glucose and blood pressure.Risk management and prevention for hyperlipidemia patients can effectively improve their overall health level and reduce the occurrence of cardiovascular and cerebrovascular diseases.