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目的:研究贵州省城乡不同地区成年居民血脂异常及高胆固醇血症、高甘油三酯血症、低高密度脂蛋白血症流行特点,为制定心血管疾病防控措施提供科学依据。方法:对该项目抽中的3322名18岁以上调查对象空腹血浆采用酶法进行胆固醇,甘油三酯,高密度脂蛋白检测;血脂异常患病率采用《中国成人血脂异常防治指南(2007年版)》推荐的标准判定。结果:贵州省5市(县)18岁及以上居民血脂异常患病率33.50%,男性39.59%、女性28.73%,男性高于女性,差异有统计学意义(P<0.05)。城市血脂异常患病率为45.71%,农村为24.37%,城市高于农村,差异有统计学意义(P<0.05)。贵州省5市(县)18岁及以上人群高胆固醇血症患病率为4.94%,胆固醇边缘升高患病率为18.51%。高甘油三酯血症患病率为16.32%。低高密度脂蛋白胆固醇血症患病率为21.52%。结论:贵州省5市(县)18岁及以上人群血脂异常患病率较高。男性居民、城市居民人群是重点预防人群。
Objective: To study the prevalence of dyslipidemia, hypercholesterolemia, hypertriglyceridemia and low-density lipoproteinemia among adult residents in urban and rural areas in Guizhou Province, and provide a scientific basis for the prevention and control measures of cardiovascular disease. Methods: The fasting plasma of 3322 subjects over the age of 18 in the project was tested for cholesterol, triglyceride and high density lipoprotein (LDL) by enzyme method. The prevalence of dyslipidemia was determined by the Chinese Guideline for Prevention and Treatment of Dyslipidemia (2007 Edition) "The recommended standard judgment. Results: The prevalence of dyslipidemia in residents aged 18 years and older in five cities and counties of Guizhou Province was 33.50%, 39.59% for males and 28.73% for females, and the difference was statistically significant (P <0.05). The prevalence of dyslipidemia was 45.71% in urban areas, 24.37% in rural areas and higher in urban areas than in rural areas (P <0.05). The prevalence of hypercholesterolemia in people aged 18 years and older in 5 cities (counties) in Guizhou Province was 4.94%, and the prevalence of elevated cholesterol was 18.51%. The prevalence of hypertriglyceridemia was 16.32%. The prevalence of low-density lipoprotein cholesterol is 21.52%. Conclusion: The prevalence of dyslipidemia in 18-year-olds and above in 5 cities (counties) in Guizhou Province is high. Male residents, urban residents are focused on prevention of the crowd.