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目的分析金堂县农村居民血脂异常患病率及其相关因素,为该县综合防控血脂异常及相关疾病提供科学依据。方法采用现况研究设计,多阶段整群随机抽取该县854名成人,通过问卷调查、体检和实验室检测等方法开展调查。调查数据采用统一的Epi Data 3.1数据库双录入,用SPSS 23.0软件进行t检验、χ~2检验、Logistic回归等统计分析。结果该县农村居民血脂异常、高胆固醇血症、高甘油三酯血症和低高密度脂蛋白血症患病率分别为26.46%、9.10%、8.62%、14.08%,标化患病率分别为24.37%、8.65%、7.99%、13.45%;血清中高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)、甘油三酯(TG)水平分别为1.36 mmol/L、0.66 mmol/L、4.91 mmol/L、1.33 mmol/L。分析显示,男性(OR=3.00)、BMI≥25.0(即超重和肥胖,OR超重=1.25,OR肥胖=2.05)、高血糖(OR=1.86)、高血压(OR=1.57)、腰围超标(OR=3.55)是血脂异常的相关因素。结论金堂县农村居民血脂异常患病率较低,但高TC血症标化患病率和血清TC水平较高,男性患病率高于女性;男性、超重和肥胖、高血压、高血糖是血脂异常的影响因素,当地政府和卫生行政部门应予以重视并及时采取综合防控措施。
Objective To analyze the prevalence of dyslipidemia and its related factors among rural residents in Jintang County and provide a scientific basis for the comprehensive prevention and control of dyslipidemia and related diseases in this county. Methods Based on the current study design, 854 adults in the county were randomly selected from the multistage cluster and investigated through questionnaires, physical examinations and laboratory tests. Survey data using a unified Epi Data 3.1 database double entry, using SPSS 23.0 software t test, χ ~ 2 test, logistic regression and other statistical analysis. Results The prevalence of dyslipidemia, hypercholesterolemia, hypertriglyceridemia and low-density lipoprotein in rural residents in this county were 26.46%, 9.10%, 8.62% and 14.08%, respectively. The standardized prevalence rates were (24.37%, 8.65%, 7.99%, 13.45%). The levels of serum HDL-C, LDL-C, TC and TG were 1.36 mmol / L, 0.66 mmol / L, 4.91 mmol / L, 1.33 mmol / L. (OR = 3.00), BMI≥25.0 (overweight and obesity, OR overweight = 1.25, OR obesity = 2.05), hyperglycemia (OR = 1.86), hypertension = 3.55) is related to dyslipidemia. Conclusions The prevalence of dyslipidemia in rural residents in Jintang County is low, but the prevalence of hypercholesteremia and serum TC levels are higher in males than in females; males, overweight and obesity, hypertension and hyperglycemia are The influencing factors of dyslipidemia should be paid attention to by local government and health administrative departments and taken comprehensive prevention and control measures in time.