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目的了解郴州市健康体检人群血脂水平现状及该地区血脂参考范围。方法应用西门子1800全自动生化分析仪检测郴州市8 502例成人空腹血脂水平。血脂指标包括TG、CHOL、HDL和LDL,并比较不同性别和年龄组间血脂水平差别。结果 55岁以下男、女组间比较,CHOL、HDL、TG、LDL差异均有统计学意义(P<0.01),55岁以上男、女组间比较,CHOL、HDL、LDL差异有统计学意义(P<0.01),TG差异无统计学意义(P>0.05)。男性55岁以上组与55岁以下组比较分析,CHOL、TG、HDL、LDL差异均有统计学意义(P<0.01);女性体检者55岁以上组与55岁以下组比较分析,CHOL、TG、HDL、LDL差异均有统计学意义(P<0.01)。血脂参考范围分别为:1)男性55岁以下组血脂四项水平为:CHOL 3.44~7.12 mmol/L,TG0.66~5.60 mmol/L,HDL0.86~1.95 mmol/L,LDL1.31~4.21 mmol/L。2)男性55岁以上组血脂四项水平为:CHOL3.38~7.34 mmol/L,TG0.67~5.08 mmol/L,HDL0.88~2.09 mmol/L,LDL1.29~4.47mmol/L。3)女性55岁以下组血脂四项水平为:CHOL 3.26~6.91 mmol/L,TG0.51~3.72 mmol/L,HDL0.96~2.32mmol/L,LDL1.19~4.06 mmol/L。4)女性55岁以上组血脂四项水平为:CHOL3.69~7.88 mmol/L,TG 0.67~4.26mmol/L,HDL0.93~2.31 mmol/L,LDL1.37~4.74 mmol/L。结论血脂水平与性别、年龄相关,郴州市成人血脂水平部分指标参考范围与全国合适水平有差异,可为该地区血脂异常防治工作提供依据。
Objective To understand the status of blood lipid level and reference range of blood lipids in healthy people in Chenzhou city. Methods A total of 8 502 adult fasting lipids in Chenzhou City were detected by Siemens 1800 automatic biochemical analyzer. Lipid parameters include TG, CHOL, HDL and LDL, and compare the differences in blood lipid levels between different genders and age groups. Results There were significant differences in CHOL, HDL, TG and LDL between men and women under 55 years of age (P <0.01). There were significant differences in CHOL, HDL and LDL between men and women over 55 years of age (P <0.01), TG difference was not statistically significant (P> 0.05). The CHOL, TG, HDL, LDL were significantly different between men over 55 years old and 55 years old (P <0.01). The CHOL, TG , HDL, LDL were statistically significant (P <0.01). The reference range of blood lipids were as follows: 1) The four levels of lipid in men under 55 years of age were CHOL 3.44-7.12 mmol / L, TG 0.66-5.60 mmol / L, HDL 0.86-1.95 mmol / L, LDL 1.31-4.21 mmol / L. 2) The levels of serum lipid in 55-year-old men were: CHOL3.38 ~ 7.34 mmol / L, TG0.67 ~ 5.08 mmol / L, HDL0.88 ~ 2.09 mmol / L and LDL1.29 ~ 4.47 mmol / L. The levels of CHOL in women under 55 years of age were: CHL 3.26-6.91 mmol / L, TG 0.51-3.72 mmol / L, HDL 0.96-2.32 mmol / L and LDL 1.19-4.66 mmol / L. The levels of CHOL in women over 55 years old were: CHOL3.69 ~ 7.88 mmol / L, TG 0.67 ~ 4.26 mmol / L, HDL 0.93 ~ 2.31 mmol / L and LDL1.37 ~ 4.74 mmol / L. Conclusion The blood lipid level is related to sex and age. The reference range of some indicators of adult blood lipid level in Chenzhou City is different from the national appropriate level, which may provide evidence for the prevention and control of dyslipidemia in this area.