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目的调查广东省成年体检人群各年龄段男女异常血脂水平分布情况。方法某院2009年11月～2010年11月对广东省多个市县20岁及20岁以上体检人群血脂检测28447人次,调查分别以不同年龄段、不同性别和不同异常血脂构成组进行统计分析。异常血脂样本中设定单纯总胆固醇升高人群为A组;单纯甘油三酯升高人群为B组;总胆固醇和甘油三酯均升高人群为C组。结果男女各年龄段内仅50岁～年龄段男女间异常血脂水平所占比例没有差异,其余各年龄段内均有明显差异(P=0.000);男女各年龄段内异常血脂构成比除20岁～和40岁～年龄段内B组与C组之间无明显差异,其余A组与B组,A组与C组,B组与C组之间男女性的异常血脂人数差别均显著(P≤0.05),并且3组男女性之间异常血脂的构成情况进行比较其差别均显著(P=0.000);男女性各年龄段异常血脂构成分布不同。结论广东省成年体检人群各年龄段异常血脂水平的分布随年龄的增长、性别的差异及异常血脂的构成不同而具有明显差异,女性在50岁后异常血脂率及混合型血脂异常比例明显上升不仅高于同年龄段男性,还远高于女性其他年龄段的变化,提示绝经期女性应注意血脂的定期检查,有利于预防和减少心血管病的发生。
Objective To investigate the distribution of abnormal blood lipid levels in male and female adults of all age groups in Guangdong province. Methods From November 2009 to November 2010, a total of 28 447 blood lipids were detected in physical examination population aged 20 years and above 20 years old in multiple cities and counties in Guangdong Province. The data were analyzed by different age groups, different genders and different dyslipidemia groups . Abnormal blood lipids in the sample set to increase the group of patients with total cholesterol A; simple triglycerides increased group B; total cholesterol and triglycerides were elevated in group C. Results There was no difference in the proportion of dyslipidemia among men and women in each age group of only 50 years old, but there were significant differences in other age groups (P = 0.000). The proportions of abnormal blood lipids in all age groups were 20 years There was no significant difference between groups A and B, group A and group C, group B and group C (P ≤0.05), and there were significant differences in the composition of abnormal blood lipids between the three groups (P = 0.000). The distribution of abnormal blood lipids in different age groups was different. Conclusions The distribution of abnormal blood lipid levels in all age groups of adult medical examination population in Guangdong Province shows significant differences with age, gender differences and the composition of abnormal blood lipids. The rates of abnormal blood lipid and mixed dyslipidemia in women after 50 years of age are significantly increased Higher than men of the same age, but also much higher than other women’s age changes, suggesting that menopausal women should pay attention to regular inspection of blood lipids, is conducive to the prevention and reduction of cardiovascular disease.