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目的探讨糖尿病高危人群血脂异常的影响因素。方法选取2012年1月至2014年10月体检的230例居民,将芬兰糖尿病危险积分(FINDRISC)≥9分的95例体检者视为糖尿病高危人群,根据其血脂检测结果分为血脂异常组和正常组。通过单因素分析和多因素logistic回归探讨血脂异常的影响因素。结果 95例受试者中60例发现血脂异常,占63.2%。其在喜食油腻、有氧运动、吸烟史、腰围、臀围、体质指数(BMI)、收缩压(SBP)、糖化血红蛋白(Hb A1c)、FINDRISC方面与血脂正常组差异有统计学意义(P<0.05),且喜食油腻、吸烟史、腰围、Hb A1c、FINDRISC是血脂异常的独立危险因素,有氧运动是独立保护因素(P<0.05)。结论糖尿病高危人群发生血脂异常的风险较高,应积极控制血糖,保持健康的饮食和生活方式,避免吸烟,控制腰围,达到减少血脂异常及心血管事件发生风险的目的。
Objective To investigate the influencing factors of dyslipidemia in diabetic high risk population. Methods A total of 230 residents from January 2012 to October 2014 were enrolled in this study. Ninety five subjects with Finnish diabetes risk score ≥9 were considered as high risk groups of diabetes. According to the results of their blood lipids, they were divided into dyslipidemia group normal group. The influencing factors of dyslipidemia were investigated by univariate analysis and multivariate logistic regression. Results Of the 95 subjects, 60 had dyslipidemia, accounting for 63.2%. There were significant differences between the two groups (P <0.05), and there was significant difference between normal group and normal group in eating greasy, aerobic exercise, smoking history, waist circumference, hip circumference, body mass index (BMI), systolic blood pressure (SBP), Hb A1c, FINDRISC (P <0.05). And they also had greasy, smoking history, waist circumference, Hb A1c and FINDRISC as independent risk factors for dyslipidemia. Aerobic exercise was an independent protective factor (P <0.05). Conclusions There is a high risk of developing dyslipidemia in high-risk population. Diabetes should be actively controlled, maintain a healthy diet and lifestyle, avoid smoking and control waist circumference, and reduce the risk of dyslipidemia and cardiovascular events.