【摘要】：目的:調(diào)查甘肅省成人(20-74歲)血脂異常的患病率和導(dǎo)致血脂異常的危險因素。方法:利用橫斷面的研究方法于2013年至2014年在甘肅省14市抽取符合要求(當?shù)鼐幼?年及以上)的調(diào)查對象共34792人,對所有被選中的調(diào)查對象均首先進行問卷調(diào)查,再進行體格檢查及血生化檢測,去除數(shù)據(jù)不完整或者未能完成整個過程的調(diào)查對象,最后有31417名研究對象完成調(diào)查過程且數(shù)據(jù)完整,可用于統(tǒng)計分析。結(jié)果:本次調(diào)查甘肅省年齡20-74歲之間成人血清TC、TG、HDL-C及LDL-C的平均水平分別為4.45±1.03mmol/L、1.74±1.12mmol/L、1.46±0.62mmol/L和2.61±0.81mmol/L。被調(diào)查人群血脂異常粗患病率為37.9%,經(jīng)過年齡標準化之后患病率為36.8%。研究人群的高TC血癥、高TG血癥、低HDL-C血癥和高LDL-C血癥的患病率分別為6.1%、22.1%、19.8%和4.0%,標化之后各患病率分別為6.6%、20.3%、19.7%和3.6%。男性(43.8%)血脂異�；疾÷矢哂谂�(33.2%)(P0.05),城市地區(qū)血脂異常患病率(40.6%)高于農(nóng)村地區(qū)(34.8%)(P0.05)。不同民族之間血脂異�；疾÷什煌�,裕固族患病率最高(40.3%),藏族患病率最低(25.8%)。二元邏輯回歸分析顯示性別、年齡、超重、肥胖(BMI≥30kg/m2)、腹型肥胖、吸煙、血脂異常家族史、海拔、地域、高血壓及糖尿病與血脂異常顯著相關(guān)(P0.05)。結(jié)論:甘肅省成人血脂異常患病率較高,其主要類型為高TG血癥和低HDL-C血癥,需要采取積極地綜合措施進行干預(yù)。
[Abstract]:Objective: to investigate the prevalence and risk factors of dyslipidemia in adults (20-74 years old) in Gansu province. Methods: a total of 34792 subjects were selected from 14 cities in Gansu province from 2013 to 2014 by cross-sectional study. All the selected subjects were investigated by questionnaire first. Then physical examination and blood biochemistry test were carried out to remove the incomplete data or the whole process. Finally, 31417 subjects completed the investigation process and the data were complete, which can be used for statistical analysis. Results: the average levels of serum TC,TG,HDL-C and LDL-C in adults aged 20-74 years were 4.45 鹵1.03mmol / L 1.74 鹵1.12mmol / L 1.46 鹵0.62mmol/L and 2.61 鹵0.81 mmol / L respectively. The crude prevalence rate of dyslipidemia was 37.9%, and the prevalence rate was 36.8% after age standardization. The prevalence rates of high TC, high TG, low HDL-C and hyperLDL-C in the study population were 6.1% and 4.0%, respectively. After standardization, the prevalence rates were 6.66% and 3.6%, respectively. The prevalence of dyslipidemia in males (43.8%) was higher than that in females (33.2%) (P0.05). The prevalence rate of dyslipidemia in urban areas (40.6%) was higher than that in rural areas (34.8%) (P0.05). The prevalence rate of dyslipidemia was the highest in Yugur nationality (40.3%) and the lowest in Tibetan nationality (25.8%). Binary logistic regression analysis showed that sex, age, overweight, obesity (BMI 鈮，

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