上海某社区50岁以上人群血脂异常流行病学调查分析.docVIP

精品论文 参考文献 上海某社区50岁以上人群血脂异常流行病学调查分析 1上海市闵行区梅陇社区卫生服务中心 201101；2上海市闵行区疾病预防控制中心 201101 摘要：目的：了解上海近郊某社区50岁以上人群血脂异常分布特征，为社区中老年人群心血管疾病防治提供基本依据。方法 采用分层整群随机抽样法，随机抽取13272例50岁以上人群，检测血清胆固醇（TC）、甘油三酯（TG）、低密度脂蛋白（LDL-C）和高密度脂蛋白（HDL-C）水平，对不同年龄和性别的血脂异常率进行比较。结果 血脂异常率48.33%，50~、60~、70~和ge;80岁分别为53.26%、49.73%、43.17%和44.43%，以50~岁最高。女性血脂异常率（55.56%）高于男性（38.70%），男性异常率随年龄增长而降低，女性各年龄组异常率无差异。TC、TG、HDL-C 和LDL-C异常率分别为28.87%、20.40%、13.01%和3.65%；TC、TG和HDL-C异常率均随年龄逐渐降低，而LDL-C异常率以60~岁最高；??性TC、LDL-C异常率高于男性，女性HDL-C异常率低于男性。结论 上海近郊某社区50岁以上人群血脂异常普遍，以女性、50~59岁男性人群，以及高TG、TC 为主。应积极开展社区综合防治，加强对重点对象血脂水平的控制。 关键词：血脂水平；血脂异常；中老年人；社区 【Abstract】OBJECTIVE To learn lipid dyslipidemia status of the elderly over 50 years of community in Shanghai suburbs.METHODS Stratified cluster random sampling method was used to select 10 neighborhood committees in the suburb community of Shanghai.Demographic information was collected.Fasting plasma levels of total cholestero1（TC），triglyceride（TG）and high-density lipoprotein cholesterol（HDLC），low-density lipoprotein cholesterol（LDLC）were determined.Lipid dyslipidemia rate between different ages and gender were compared.RESULTS There were totally 13，272 elderly over 50 years for the study.Dyslipidemia rate was 48.33% totally.The rate of each age group 50~、60~、70~、andge;80 year were 53.26%，49.73%，43.17% and 44.43% respectively，among which age group of 50~ took the highest part.The dyslipidemia rate of womenrsquo;s was higher than that of menrsquo;s with significantly difference（55.56% vs 38.70%）.The rate of each age group for men were 46.90%，42.08%，30.76% and 28.90%，and it decreased with age increasing.While there was no significance among age group for women.Dyslipidemia rates of TC，TG，LDL-C and HDL-C level were 28.87%，20.40%，13.01% and 3.65% respectively.The dyslipidemia rates of TC，TG and HDL-C decreased with age significantly，and the rate of age group between 50~59 was the highest among age groups.However，the abnormality rate of LDL-C of 60 ~69 years took the highest part.The