论文部分内容阅读
目的调查新疆地区汉成人三酰甘油(TG)的分布特点及其与颈动脉粥样硬化(CAS)的关系。方法应用四阶段整群随机抽样法,在新疆的7个地区抽取年龄在35岁以上汉族样本。统计TG水平及TG升高的患病率,并分析TG升高与CAS的关系。结果汉族TG平均水平为1.33 mmol/L,男性1.52 mmol/L,女性1.19 mmol/L,男女间差异有统计学意义(P<0.01)。经年龄标化TG边缘升高和高TG血症的患病率分别为14.4%、20.7%。TG升高的知晓率为17.1%、治疗率为6.8%、控制率为3.4%。标化后CAS组的高TG血症的患病率(26.2%)高于非CAS组(18.5%),差异有统计学意义(P<0.05)。非条件Logistic回归分析显示高TG血症是CAS的危险因素[OR=1.276,95%CL(1.098,1.484)]。结论新疆地区汉族的TG平均水平及TG升高患病率较高,TG升高的知晓率、治疗率、控制率较低。高TG血症在汉族可能是CAS的危险因素,应加强对新疆地区汉族血脂异常的教育及监测。
Objective To investigate the distribution of triglyceride (TG) in Han adults and its relationship with carotid atherosclerosis (CAS) in Xinjiang. Methods A four-stage cluster random sampling method was used to sample Han Chinese over the age of 35 in seven regions of Xinjiang. Statistics TG levels and the prevalence of elevated TG, and analyze the relationship between elevated TG and CAS. Results The average level of TG in Han nationality was 1.33 mmol / L, male 1.52 mmol / L and female 1.19 mmol / L. There was significant difference between male and female (P <0.01). The prevalence of age-adjusted TG margins and hypertriglyceridemia were 14.4% and 20.7%, respectively. The awareness of elevated TG was 17.1%, the treatment rate was 6.8% and the control rate was 3.4%. The prevalence of hypercholesteremia in standardized CAS group (26.2%) was significantly higher than that in non-CAS group (18.5%) (P <0.05). Non-conditional Logistic regression analysis showed that hypercholesteremia was a risk factor for CAS [OR = 1.276, 95% CL (1.098, 1.484)]. Conclusion The mean prevalence of TG and the prevalence of elevated TG in Han nationality in Xinjiang are higher than those in Han nationality in Xinjiang, but the awareness rate, treatment rate and control rate of elevated TG are lower. Hypertriglyceridemia in Han Chinese may be CAS risk factors, should strengthen the education and monitoring of dyslipidemia in Han Chinese in Xinjiang.