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目的探讨衢州市居民血脂异常的现状和影响因素。方法采用分层整群抽样方法,抽取衢州市城区、郊区和农村3个街道(乡镇)6个行政村1800名30岁以上居民进行调查。通过检测血糖、血脂等血生化指标及体格检查、问卷调查进行血脂水平和影响因素分析。对结果进行单因素和多因素Logistic回归分析。结果衢州市30岁以上居民血脂异常率为31.73%,男女之间差异无统计学意义(P>0.05),男女LDL异常率均随年龄增长而增加。血脂异常类型以高TG为主,不同地区男女高脂血症类型也不同。多因素Logistic分析结果显示,慢性病家族史、BMI≥24 kg/m2、缺乏体育锻炼是血脂异常的危险因素。结论衢州市30岁以上人群血脂异常状况严重,建议控制体重、适量运动,建立良好的生活方式,以减少血脂异常的发生,降低心脑血管疾病发生率。
Objective To investigate the status and influencing factors of dyslipidemia in residents of Quzhou City. Methods A stratified cluster sampling method was used to survey 1,800 residents over the age of 30 in 6 administrative villages of 3 streets (townships) in urban, suburban and rural areas of Quzhou City. Through the detection of blood glucose, blood lipids and other biochemical indicators and physical examination, questionnaire for lipid levels and influencing factors. The results of single factor and multivariate logistic regression analysis. Results The prevalence of dyslipidemia in residents over the age of 30 in Quzhou was 31.73%. There was no significant difference between male and female (P> 0.05). The abnormal rates of LDL in both sexes increased with age. The type of dyslipidemia is mainly high TG, and the types of hyperlipidemia are different in different areas. Multivariate logistic analysis showed that the family history of chronic diseases, BMI ≥ 24 kg / m2, lack of physical exercise is a risk factor for dyslipidemia. Conclusion There is a serious dyslipidemia in people over the age of 30 in Quzhou City. It is suggested to control body weight and moderate exercise and establish a good lifestyle to reduce the incidence of dyslipidemia and reduce the incidence of cardiovascular and cerebrovascular diseases.