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目的分析平阳县成年居民血脂异常患病率及其危险因素。方法抽取平阳县4 980名18周岁以上的社区居民为研究对象,进行问卷调查、体格检查及血脂检测,计算血脂异常患病率并分析其危险因素。结果平阳县成年居民血脂异常标化患病率为37.31%,主要表现为TG升高(20.90%)和HDL-C降低(15.93%)。50岁以前,男性血脂异常患病率均明显高于女性(P<0.01),而60岁以后女性血脂异常患病率明显高于男性(P<0.01)。多因素非条件Logistic回归分析显示,年龄大、有血脂异常家族史、饮酒、超重、肥胖、高血压和糖尿病是血脂异常的危险因素,经济收入较高是血脂异常的保护因素。结论平阳县成年居民血脂异常的患病率处于较高水平,应加强对高危人群的综合干预。
Objective To analyze the prevalence and risk factors of dyslipidemia among adult residents in Pingyang County. Methods A total of 4 980 community residents aged 18 years and over in Pingyang County were selected as the research subjects. Questionnaires, physical examinations and blood lipids were performed to calculate the prevalence of dyslipidemia and analyze the risk factors. Results The prevalence of dyslipidemia in adult residents in Pingyang was 37.31%. The main manifestations were elevated TG (20.90%) and decreased HDL-C (15.93%). Before age 50, the prevalence of dyslipidemia in males was significantly higher than that in females (P <0.01), but the prevalence of dyslipidemia in females after 60 years of age was significantly higher than that in males (P <0.01). Multivariate non-conditional Logistic regression analysis showed that older age, family history of dyslipidemia, alcohol consumption, overweight, obesity, hypertension and diabetes were the risk factors of dyslipidemia, and the higher economic income was the protective factor of dyslipidemia. Conclusion The prevalence of dyslipidemia in adult residents in Pingyang County is at a high level, and the comprehensive intervention for high-risk population should be strengthened.