上海某社区50岁以上人群血脂异常流行病学调查分析.docxVIP

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牛服务中心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木依据。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，对彳、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~和洋;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;女性TCADL-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 n eighborhood committees in the suburb comm unity of Sha nghai.Demographic in formati on was collected.Fasti ng plasma levels of total cholesterol(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 significanee 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