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目的了解深圳市福田区慢性病高风险人群血脂水平及其影响因素,为进一步制定有针对性的预防控制策略提供基础资料。方法从深圳市福田区随机选择12个社区,通过多种途径(体检资料查询、日常门诊发现、家庭医生发现、义诊发现)在被选取的社区中筛查发现慢性病高风险个体,并对其进行问卷调查,最终纳入慢性病高风险个体1 923名。结果研究人群血清总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)水平的算术均数分别为5.03、1.60、2.84、1.38 mmol/L。分别有302、35和296名研究对象患有高TG血症、高LDL-C血症和低HDL-C血症,患病率分别为15.70%、1.82%和15.39%。糖调节受损研究人群高TG血症和低HDL-C血症患病率均明显高于非糖调节受损研究人群对应的患病率,超重或肥胖型研究人群高TG血症患病率均明显高于体重正常研究人群高TG血症患病率;超重或肥胖型研究人群低HDL-C血症患病率均明显高于体重正常研究人群低HDL-C血症患病率。结论研究人群血脂成分异常率较高;血脂成分异常类型以高TG血症和低HDL-C血症为主;血脂成分异常与糖调节受损、超重或肥胖密切相关,应引起重视,积极进行干预控制。
Objective To understand the level of blood lipid and its influencing factors in high risk population with chronic diseases in Futian District, Shenzhen, and to provide basic information for further development of targeted prevention and control strategies. Methods A total of 12 communities were randomly selected from Futian District, Shenzhen. The selected individuals were screened out and screened for the high risk individuals with chronic diseases through a variety of ways (physical examination information, routine clinic visits, family doctor discovery and free medical service discovery) The questionnaire survey eventually included 1,923 individuals at high risk of chronic diseases. Results The arithmetic mean of the levels of total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDL-C) and high density lipoprotein cholesterol (HDL-C) in the study population were 5.03,1.60 and 2.84 , 1.38 mmol / L. There were 302, 35 and 296 subjects with hypercholesteremia, high LDL-C and low HDL-C, respectively, with prevalences of 15.70%, 1.82% and 15.39%, respectively. Impaired glucose regulation The prevalence of hypercholesterolemia and hypo-HDL-C in study population was significantly higher than that in non-glucose-regulated study population, and the prevalence of hyper TG disease in overweight or obese subjects Were significantly higher than those in normal weight-bearing population. The prevalence of low HDL-C in overweight or obese subjects was significantly higher than that of low HDL-C in weight-normal subjects. Conclusions The abnormal rate of blood lipid component in study population is high. The abnormal lipid components are mainly hypertriglyceridemia and low HDL-C. The abnormal lipid components are closely related to impaired glucose regulation, overweight or obesity, and should be paid more attention to. Intervention control.