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目的:对贵阳市40岁以上血脂异常的常住中老年人群进行3年的随访研究,分析其血脂异常知晓率、治疗率和控制情况及其相关因素。方法:于2011年随机抽取贵阳市城区≥40岁的6 872例血脂异常人群作为研究对象,进行问卷调查、体格检查及血糖、血脂测定,于2014年再次对上述人群进行3年后回访,分析该人群血脂异常的知晓率、治疗率、控制率及其相关因素。结果:2011年基线血脂异常人群在2014年回访中血脂异常的知晓率、药物治疗率、控制达标率分别为29.9%、6.4%、17.2%,其中低高密度脂蛋白胆固醇血症、高低密度脂蛋白胆固醇血症、高总胆固醇血症、高三酰甘油血症控制达标率分别为76.7%、27.5%、19.9%、27.7%。分析显示,导致血脂异常未达标的相关因素包括女性、高餐后血糖、高舒张压、高体质量指数。结论:贵阳市血脂异常老年人群中的血脂异常知晓率、降脂药物治疗率、控制达标率均较低。
Objective: To investigate the prevalence of dyslipidemia, treatment rate, control and related factors in the elderly population aged over 40 years with dyslipidemia in Guiyang City for three years. Methods: A total of 6 872 cases of dyslipidemia aged 40 years or older in urban areas of Guiyang City were enrolled in this study. Questionnaires, physical examinations, blood glucose and blood lipids were performed. In 2014, the above groups were revisited 3 years later. The crowd awareness of dyslipidemia, treatment, control and related factors. Results: The awareness rates, drug treatment rates and control compliance rates of the patients with baseline dyslipidemia in return visit in 2014 were 29.9%, 6.4% and 17.2%, respectively. Among them, low-density lipoprotein cholesterol, high-low density Lipoprotein cholesterol, hypercholesterolemia, hypertriglyceridemia control compliance rates were 76.7%, 27.5%, 19.9%, 27.7%. Analysis showed that the factors that led to dyslipidemia were women, postprandial blood glucose, high diastolic blood pressure and high body mass index. Conclusion: The prevalence rate of dyslipidemia, the rate of lipid-lowering drug treatment, and the rate of control compliance in the elderly population with dyslipidemia in Guiyang are all low.