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目的了解金华市婺城区成人血脂异常现状。方法采用随机整群分层抽样的调查方法对婺城区18岁以上常住居民进行问卷调查,测量其血浆总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇,比较血脂异常情况。结果 599名成人中有301名血脂异常,血脂异常检出率为50.25%。其中190名混合型高脂血症患者,混合型高脂血症的检出率为31.71%。不同年龄段的成人TC异常检出率、LDL-C异常检出率及不同性别TC异常检出率差异有统计学意义(P<0.01)。成人男性居民血脂异常患病率为50.76%,女性为49.85%,差异无统计学意义(P>0.05)。成人居民18~、30~、40~、50~、60~和70~岁各年龄段居民血脂异常患病率分别是29.03%、42.37%、51.43%、55.7%、54.3%和46.15%,总患病率随年龄呈现中间高两头低趋势(P<0.01)。结论婺城区成人总血脂异常率与报道相近,但混合血脂异常率明显高于文献报道的水平,值得关注。
Objective To understand the status of adult dyslipidemia in Wucheng District, Jinhua City. Methods Random stratified stratified sampling method was used to investigate the plasma total cholesterol, triglyceride, high density lipoprotein cholesterol, low density lipoprotein cholesterol and dyslipidemia in Wucheng District residents over 18 years old. Results Among the 599 adults, 301 had dyslipidemia and the rate of dyslipidemia was 50.25%. Of 190 patients with mixed hyperlipidemia, the detection rate of mixed hyperlipidemia was 31.71%. There were significant differences in detection rate of TC abnormalities, detection rate of LDL-C abnormalities and TC abnormalities in different ages among different age groups (P <0.01). The prevalence of dyslipidemia in adult male residents was 50.76% and in women was 49.85%, the difference was not statistically significant (P> 0.05). The prevalence of dyslipidemia among residents aged 18 ~ 30, 40, 50, 60 and 70 years old was 29.03%, 42.37%, 51.43%, 55.7%, 54.3% and 46.15% The prevalence showed a middle-high low trend with age (P <0.01). Conclusions The total dyslipidemia rate in Wucheng District is similar to that reported in Wucheng District, but the mixed dyslipidemia rate is obviously higher than that reported in the literature, which deserves our attention.