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目的分析深圳市某社区人群血脂异常的相关性危险因素,为制定慢病患者人群的预防与控制策略提供依据。方法对2014年4-9月到深圳市南山区南油社区健康服务中心周期性体检的832名居民进行调查,通过进行问卷调查、体格检查和实验室检测收集信息,应用χ~2检验、t检验、非参数检验及多因素Logistic回归方法对资料进行统计分析。结果单因素分析显示45~64岁年龄段发生血脂异常风险较其他年龄段高,患有高血压、糖尿病的患者发生血脂异常比例高于没有高血压、糖尿病人群(χ~2=6.23,P=0.0126;χ~2=3.87,P=0.0490),文化程度较高人群患血脂异常的风险高于文化程度低人群(χ~2=7.29,P=0.0262);而多因素logistic回归分析人群血脂异常的影响因素分别为文化程度、高血压、糖尿病;血脂相关指标水平在血脂异常和血脂正常人群间的差异较明显。结论深圳城市社区慢病患者高脂血症率较高,卫生部门应加强高脂血症危害性的宣传干预,控制高血脂症的现状,降低心脑血管事件的发生。
Objective To analyze the risk factors associated with dyslipidemia in a community population in Shenzhen and provide the evidence for the prevention and control strategies of people with chronic diseases. Methods A total of 832 residents from April to September 2014 who went to Nanyou Community Health Service Center of Nanshan District of Shenzhen City for periodic physical examination were investigated. Questionnaires, physical examination and laboratory tests were used to collect information. Chi-square test and t test Test, non-parametric test and multivariate logistic regression analysis. Results Univariate analysis showed that the incidence of dyslipidemia was higher in 45-64 age group than in other age groups. The incidence of dyslipidemia in patients with hypertension and diabetes was higher than that in those without hypertension and diabetes (χ ~ 2 = 6.23, P = (Χ ~ 2 = 7.29, P = 0.0262). However, multivariate logistic regression analysis was used to analyze the prevalence of dyslipidemia in population with higher education level The influencing factors were education level, hypertension and diabetes mellitus. The difference of serum lipid-related index was significant between dyslipidemia and normal blood lipids. Conclusion The prevalence of hyperlipidemia in urban patients with chronic diseases in Shenzhen City is high. The health department should strengthen the publicity intervention of the dangers of hyperlipidemia, control the status of hyperlipidemia and reduce the occurrence of cardiovascular and cerebrovascular events.