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目的了解公务员和事业单位人群多代谢异常现状,为该人群多代谢异常的预防和控制提供依据。方法对河南省郑州市某医院2010年1-8月参加健康体检的12747名公务员及事业单位人群的高血糖、高血压的检出率和血脂异常率进行分析。结果研究对象高胆固醇血症、高甘油三酯血症、低高密度脂蛋白血症、高低密度脂蛋白血症的检出率(标化检出率)分别为24.30%(20.66%)、31.07%(28.34%)、28.64%(27.85%)和18.18%(14.99%),高血糖、高血压的检出率(标化检出率)分别为14.11%(10.91%)和17.37%(12.92%)。男性各种代谢异常组分的检出率均高于女性,差异有统计学意义(P<0.01)。女性5种代谢异常的检出率均随年龄的增长呈上升趋势(P<0.05);男性高血糖、高血压、高甘油三酯血症、高低密度脂蛋白血症的检出率随年龄增长呈升高趋势(P<0.05)。研究对象存在高血压、高血糖、血脂异常中1种、2种、3种代谢异常者的比例分别为42.00%、15.42%和3.24%。男性存在1种、2种代谢异常的比例(47.16%、18.09%)均高于女性(32.46%、10.44%),差异有统计学意义(P<0.01)。全人群代谢异常最常见的组合为高血压合并血脂异常(7.46%)。结论河南省郑州市公务员及事业单位人群多代谢异常率高,主要表现为血脂异常和高血压,男性代谢异常现状较女性严重,应加强该类人群多代谢异常的预防和控制工作。
Objective To understand the current situation of multi-metabolic abnormalities among civil servants and institutions, and to provide basis for the prevention and control of multi-metabolic abnormalities in this population. Methods The prevalence of hyperglycemia, high blood pressure and the rate of dyslipidemia in 12 747 civil servants and institutions participating in the health examination from January to August 2010 in a hospital in Zhengzhou City of Henan Province were analyzed. Results The detection rate (standardization rate) of hypercholesterolemia, hypertriglyceridemia, low-density lipoproteinemia and high-low density lipoproteinemia were 24.30% (20.66%), 31.07% (28.34%), 28.64% (27.85%) and 18.18% (14.99%). The detection rates of hyperglycemia and hypertension were 14.11% (10.91%) and 17.37% (12.92% %). The detection rate of various metabolic abnormalities in males was higher than that in females, the difference was statistically significant (P <0.01). The detection rate of five metabolic abnormalities in women all showed an increasing trend with age (P <0.05). The detection rates of male hyperglycemia, hypertension, hypertriglyceridemia and high and low density lipoproteinemia varied with age The growth was increased (P <0.05). Subjects with hypertension, hyperglycemia, dyslipidemia in 1, 2, 3 kinds of metabolic abnormalities were 42.00%, 15.42% and 3.24% respectively. There were 1 males and 2 metabolic abnormalities (47.16%, 18.09%) were higher than females (32.46%, 10.44%), the difference was statistically significant (P <0.01). The most common combination of metabolic abnormalities in the general population was hypertension with dyslipidemia (7.46%). Conclusions The abnormal rate of multiple metabolism in civil servants and public institutions in Zhengzhou City, Henan Province is high, mainly as dyslipidemia and hypertension. The status of metabolic abnormalities in men is more serious than that in women. Prevention and control of multi-metabolic abnormalities should be strengthened in these groups.