1998年河北正定心血管病监测区居民血脂水平分析

A survey of blood lipid levels in the rural population of Zhengding of Hebei province in 1998

目的 研究改革开放以来农村人群血脂水平分布。 方法 在社区内采用整群随机抽样的方法 ,抽取 10 5 0人 (男 5 13人、女 5 37人 ) ,年龄 35岁～ 5 9岁。测定其血清胆固醇 (TC)、高密度脂蛋白胆固醇 (HDL C)、甘油三酯 (TG)。 结果 人群内TC男女分别为 178 94mg dl± 15 19mg dl、176 77mg dl± 16 2 7mg dl,男女性别之间差异不显著 (P =0 4 4 2 3)。HDL C男女分别为 5 3 5 1mg dl± 13 4 4mg dl、5 5 6 6mg dl± 12 4 7mg dl,女性高于男性 (P =0 0 0 75 )。TG男女分别为 114 2 7mg dl± 1 81mg dl、96 71mg dl± 1 75mg dl,男性明显高于女性 (P =0 0 0 0 8)。TC异常检出率 (≥ 2 0 0mg dl)男性为 2 8 7% ,女性为 2 7 9% ,高于全国平均水平。TG(≥ 15 0mg dl)异常检出率 ,男性为2 8 8% ,女性为 2 0 3% ;男性明显高于女性 (P =0 0 0 4 8332 6 )。总计高TC、TG和低HDL C检出率男性为 4 9 3% ,女性为 39 5 %。男性明显高于女性 ,各年龄组内男性均高于女性 (P =0 0 0 0 6 34)。 结论 该地区人群平均TC水平高 ,高TC、TG和低HDL C检出率高 ,预示人群冠心病发病率将迅速上升 。

Objective To study the distribution of blood lipid levels in the rural community population of Zhengding of Hebei Province Methods To use sampling survey in the population,1050 individuals(513 male,537 female),whose age was 35～59,were measured on serum total cholesterol(TC),HDL cholesterol(HDL C) and Triglyceride(TG) Results In population,TC was 178 94mg/dl±15 19mg/dl in men,176 77mg/dl±16 17mg/dl in women,The mean value of TC in the men was higher than in the women,but no statistically significant (P=0 4423) HDL C was 53 51mg/dl±13 44mg/dl in the men,55 66mg/dl±12 47mg/dl in the women,Between them women were higher(P=0 0075) TG was 114 27mg/dl±1 81mg/dl in the men,96 71mg/dl±1 75mg/dl in the women The mean value of TG in the men was higher than in the women(P= 0 0008) The incidence of hypercholesterolemia(≥200mg/dl) was 28 7% in the men,27 9% in the women,so the incidence was higher than that in our other country either the men or the women(Male 25%,Female24%) The incidence of hypertriglyceridemia(≥150mg/dl) was 28 8% in the men,20 3% in the women Men were higher than in women(P=0 00483326) The level of HDL C was lower than 35mg/dl incidence was 4 5% in the men,1 5% in the women,men were higher than women(P=0 0075) On abnormal blood lipid level,the total incidence sum was 49 3% in the men,39 5% in the women,44 3% in the population Conclusion Total cholesterol level of the population was higher than in other Chinese area The incidence of hyperlipidaemia is very high after reformation of our country It showed that the coronary disease incidence would be increased in the rural areas Thus,It is very important to be launching out into the education of health dietary nutrition and prevention hyperlipidaemia education among the population