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目的了解河南新乡地区农村居民血脂边缘升高及异常的分布特征。方法采用现况调查的方法对随机整群抽取的18～65岁常住农村居民665人进行问卷调查、实验室检测和体格检查。应用检出率描述血脂边缘升高及异常分布规律,采用χ2检验比较各组率的差别,用SPSS 13.0进行数据处理和分析。结果农村居民血脂异常总发生率26.4%,血脂边缘升高总发生率48.0%。农村居民血脂边缘升高及异常的检出率随年龄、血糖、血压、体质指数及腰围的增加而增高(P均为0.000)。与无饮酒习惯者相比,有饮酒习惯者血脂异常检出率可降低(P=0.003)。结论农村居民血脂边缘升高及异常的分布存在一定的特征和规律。应重点针对中老年者、空腹血糖受损及糖尿病者、血压高值者及高血压者、超重与肥胖及腹型肥胖者、过量饮酒者实施全方位的健康管理、预防与控制。
Objective To understand the characteristics of elevated blood lipids and abnormal distribution of rural residents in Xinxiang, Henan Province. Methods A total of 665 resident rural residents from 18 to 65 years old randomly selected from the cluster were investigated by questionnaires, laboratory tests and physical examinations. The application detection rate was used to describe the rising and abnormal distribution of blood lipids. The differences between the groups were compared by χ2 test, and the data were analyzed and processed by SPSS 13.0. Results The total incidence of dyslipidemia in rural residents was 26.4% and the total incidence of elevated lipids margins was 48.0%. The incidence of elevated lipids and abnormality in rural residents increased with age, blood glucose, blood pressure, body mass index and waist circumference (P = 0.000). The prevalence of dyslipidemia in drinking habits was lower than that in non-drinking habits (P = 0.003). Conclusion There are certain characteristics and regularities in the elevation of the blood lipids and the distribution of abnormalities in rural residents. Should focus on the elderly, impaired fasting glucose and diabetes, those with high blood pressure and hypertension, overweight and obesity and abdominal obesity, excessive drinkers to implement a full range of health management, prevention and control.