京族人群的血脂水平和高脂血症患病率调查_临床医学论文.docVIP

京族人群的血脂水平和高脂血症患病率调查_临床医学论文 京族人群的血脂水平和高脂血症患病率调查_临床医学论文 作者：张明陆, 尹瑞兴, 李容新3, 苗林, 吴东峰，林伟雄, 杨德寨 【摘要】 目的 了解我国京族人群的血脂水平和高脂血症患病率。方法 采用分层随机抽样方法对422例京族人群的血脂水平进行测定，并将其结果与425例当地的汉族人群作比较。结果 京族人群的血清总胆固醇(TC)和甘油三酯(TG)水平明显低于当地的汉族人群[分别为(5.17±0.98)mmol/L比(5.37±1.11)mmol/L,0.01和(1.35±0.92)mmol/L比(1.80)mmol/L,0.05]，但血清高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)水平与汉族人群比较差异无显著性(Pgt;0.05)。京族人群高甘油三酯血症和高脂血症患病率明显低于汉族人群(分别为10.66%比15.76%, 0.05和49.76%比56.94%,0.05), 但高胆固醇血症患病率与汉族人群比较差异无显著性(Pgt;0.05)。两民族人群高血压者的血清TC、TG和HDL-C水平和高胆固醇血症和高甘油三酯血症患病率均高于正常血压者(0.05～0.001)。 结论 京族和汉族人群的血脂谱和高脂血症患病率存在明显差异，可能与他们的饮食习惯、生活方式和遗传因素不同有关。 【关键词】 脂质;高脂血症;患病率;少数民族 　[Abstract] Objective To detect the serum lipid levels and the prevalence of hyperlipidemia in the Jing Zu population. Methods A total of 422 subjects of Jing Zu were studied by a stratified randomized sampling. Serum lipid levels were measured. The data were compared with those in 425 subjects of Han Chinese from the same area. Results The levels of total cholesterol (TC) and triglyceride (TG) were lower in Jing Zu than in Han Chinese (5.17±0.98 vs. 5.37±1.11 mmol/L,0.01 and 1.35±0.92 vs. 1.57±1.80 mmol/L, 0.05; respectively). There were no significant differences in the levels of high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C) between the two ethnic groups (Pgt;0.05). The prevalence of hypertriglyceridemia and hyperlipidemia was also lower in Jing Zu than in Han Chinese (10.66% vs. 15.76%, 0.05 and 49.76% vs. 56.94%, 0.05; respectively). There was no significant difference in the prevalence of hypercholesterolemia between the two ethnic groups (Pgt;0.05). The levels of TC, TG and HDL-C and the prevalence of hypercholesterolemia and hypertriglyceridemia in both ethnic groups were higher in hypertensives than in normotensives. Conclusion The differences in the serum lipid levels and the prevalence of hyperlipidemia between the Jing Zu and Han populations might result from different dietary habit, life style, as well as genetic