血脂者心血管危险因素的比较103286 唐霖 指导老师：李.docVIP

北上海地区中老年人群心血管项目 高脂血症者和正常血脂者心血管危险因素比较 作者：段红霞 【摘要】 目的：对比研究探索老年人中高脂血症者和正常血脂者在年龄、性别、吸烟与否、家族史、腰臀围、体重指数、血糖血脂指标等心血管危险因素间的差异。方法：2014年7月开始进行研究前期准备，并对研究者进行系统培训。2014年8月至2016年8月，我们从大宁地区的大宁、粤秀、广延、共和、芷江西路等10个社区邀请了1945位65岁以上的老人参加此次调查，共1789人入选（应答率91.9%）。结果：高脂血症者与正常血脂者在性别、体重指数、TC、TG和LDL有显著差异，而在年龄、吸烟、心血管家族史、腰围、臀围、血糖、HDL、收缩压和舒张压无明显差异。结论：高脂血症者女性多于男性，体重指数、TC、TG和LDL等指标明显高于正常血脂者，证实高脂血症是心血管疾病的重要危险因素。 【关键词】高脂血症 心血管 危险因素 统计学 【Abstract】 Objective:We compared the differences of the cardiovascular diseases’ risk factors such as age, gender, smoking, family history, body mass index, waist circumference, blood glucose and blood lipid index between elderly patients with hyperlipidemia and normal blood lipidsin.Methods:We began to pre-prepare and systematicly train researchers in July 2014 and we invited 1945 people over the age of 65 from the Daning region such as Daning community, Yuexiu community, Guangyan community, Gonghe community and West Zhi River Road community to participate in the survey from August 2014 to August 2016,and 1789 people were selected (response rate:91.9%).Results:There were significant differences in sex, body mass index, TC, TG and LDL between the hyperlipidemia group and the normal blood lipid group, but there was no significant difference in age, smoking, cardiovascular family history, waist circumference, hip circumference, blood sugar, HDL, systolic blood pressure and diastolic blood pressure between them.Conclusion:Women with hyperlipidemia were more than men, and BMI, TC, TG and LDL in the hyperlipidemia were significantly higher than those in normal blood lipids. It proved that hyperlipidemia was an important risk factor of cardiovascular disease. 【Key Words】hyperlipemia, cardiovascular, risk factors, statistics 概述 高脂血症是血浆中总胆固醇和（或）甘油三酯升高的一种代谢性疾病，是心血管疾病的 重要危险因素，可导致冠心病、高血压及其他动脉粥样硬化性疾病[1-3]。在国际范围内，欧美等发达国家已制定了有着各自国民特点的心血管及代谢性疾病风险评估体系，比如欧洲著名的SCORE评分，英国的QRISK2评分，美国的Framingham评分及Reynolds评分。这些评分体系为各国的心血管疾病的防治提供了重要的理论支持：比如Framingham心血管危险因素评分体系的建立直接导致了美国心血管疾病患病率的“拐点”的出