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目的调查了解余姚市高龄老年人血脂紊乱现状及其危险因素。方法采用多阶段分层整群抽样方法抽取余姚市1 000名高龄老年人进行血脂检测,并开展问卷调查,对调查结果进行统计分析;采用χ2检验和Logistic回归分析方法分析影响高龄老年人血脂紊乱的危险因素。结果余姚市高龄老年人血脂紊乱发生率为71.3%,其中HC+高TG型构成比为19.7%,发病率最高;单纯低HDL-c型构成比为1.4%,发病率最低。多因素Logistic回归分析发现,进食方式(OR=0.973)、BMI(OR=1.184)、高血糖(OR=0.784)、高血压(OR=0.799)、吸烟(OR=0.763)及饮酒(OR=1.003)是高龄老年人血脂紊乱的危险因素。结论余姚市高龄老年人血脂紊乱发生率较高,合理饮食、减肥、戒烟、戒酒及合理控制血压、血糖是减少血脂紊乱的关键。
Objective To investigate the status and risk factors of dyslipidemia in elderly people in Yuyao City. Methods A multi-stage stratified cluster sampling method was used to detect 1000 elderly people in Yuyao City for blood lipids testing and questionnaire survey. Statistical analysis was made on the survey results. Chi-square test and logistic regression analysis were used to analyze the influence of dyslipidemia Risk factors. Results The incidence of dyslipidemia was 71.3% in elderly people in Yuyao. The proportion of HC + high TG was 19.7%, and the incidence was the highest. The ratio of simple HDL-c was 1.4%, and the morbidity was the lowest. Multivariate logistic regression analysis showed that the prevalences of eating (OR = 0.973), BMI (OR = 1.184), hyperglycemia (OR = 0.784), hypertension (OR = 0.799), smoking ) Is a risk factor for senile dyslipidemia. Conclusion The incidence of dyslipidemia in elderly people in Yuyao City is higher. Reasonable diet, weight loss, smoking cessation, alcohol abstinence and rational control of blood pressure and blood sugar are the keys to reduce dyslipidemia.