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目的了解内蒙古地区蒙古族与汉族成人血脂状况及相关因素,为早期预防与干预血脂异常提供科学依据。方法于2010年,按照整群分层抽样的原则,选取内蒙古地区18岁以上蒙古族与汉族人群4 439人为研究对象,进行问卷调查、体格测量和实验室检测,对血脂水平及相关因素进行调查。结果蒙古族与汉族总胆固醇(TC)水平分别为(4.86±1.08)、(4.95±1.09)mmol/L,甘油三酯(TG)水平分别为(1.55±1.53)和(1.81±1.71)mmol/L,高密度脂蛋白胆固醇(HDL-C)水平分别为(1.40±0.29)、(1.34±0.28)mmol/L,低密度脂蛋白胆固醇(LDL-C)水平分别为(2.78±1.33)、(2.65±0.86)mmol/L。内蒙古地区成人血脂异常检出率为47.06%,其中蒙古族和汉族血脂异常检出率分别为40.36%和49.95%,高胆固醇血症检出率分别为10.69%和11.74%,高甘油三酯血症检出率分别为15.10%和21.44%,低高密度脂蛋白胆固醇血症检出率分别为8.45%和11.77%,高低密度脂蛋白胆固醇血症检出率分别为6.13%和5.00%。多因素分析表明,内蒙古地区人群的血脂异常与性别、吸烟、年龄、文化程度和腰围有关。结论蒙古民族和汉族人群的血脂水平和血脂异常患病率存在差异,其中性别、吸烟、年龄、文化程度、腰围是本地区血脂异常的危险因素。
Objective To understand the blood lipid status and related factors of Mongolian and Han nationality in Inner Mongolia and provide a scientific basis for early prevention and intervention of dyslipidemia. Methods In 2010, according to the principle of stratified cluster sampling, 4 439 Mongolian and Han nationalities over 18 years old in Inner Mongolia were selected as research subjects, and questionnaires, physical measurements and laboratory tests were conducted to investigate the levels of blood lipids and related factors . Results The levels of total cholesterol (TC) in Mongolian and Han nationality were (4.86 ± 1.08) and (4.95 ± 1.09) mmol / L respectively, and the levels of triglyceride were (1.55 ± 1.53 and 1.81 ± 1.71 mmol / L and HDL-C levels were 1.40 ± 0.29 and 1.34 ± 0.28 mmol / L, respectively. The LDL-C levels were (2.78 ± 1.33) and 2.65 ± 0.86) mmol / L. The detection rate of dyslipidemia in adults in Inner Mongolia was 47.06%. The detection rates of dyslipidemia in Mongolian and Han nationality were 40.36% and 49.95%, respectively. The detection rates of hypercholesterolemia were 10.69% and 11.74% The detection rate of disease was 15.10% and 21.44% respectively. The detection rates of low and high density lipoprotein cholesterol were 8.45% and 11.77% respectively. The detection rates of high and low density lipoprotein cholesterol were 6.13% and 5.00% respectively. Multivariate analysis showed that among the population in Inner Mongolia, dyslipidemia was related to gender, smoking, age, education level and waist circumference. Conclusion The prevalence of dyslipidemia and dyslipidemia in Mongolian and Han populations are different. Sex, smoking, age, educational level and waist circumference are the risk factors of dyslipidemia in this area.