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目的探讨五角场街道社区成年高血压患者的各种血脂异常的流行病学特征。方法使用多级抽样方法调查了社区1842名高血压患者(其中男性853,女性989名),年龄≥40岁。血脂异常的脂类表现形式遵循欧洲动脉粥样硬化协会指南(1992)。结果最常见的血脂异常是单纯性高胆固醇血症,平均发生率为35.3%(其中男性是33.6%,女性是36.8%);混合型高脂血症是排在第二位的,平均发生率为15.9%;单纯性高甘油三酯血症排在第三位,大约占6.1%;低脂蛋白血症和严重高脂血症分别占2.5%和3.7%;混合高甘油三酯-低脂蛋白血症的患者最少,占0.5%(其中男性占0.7%,女性占0.4%)。糖尿病患者中单纯性高甘油三酯血症、混合型高脂血症和严重高脂血症患者比例更高。相对于标准体重,肥胖者中单纯性高甘油三酯血症、混合高甘油三酯-低脂蛋白血症、混合型高脂血症和严重高脂血症患者比例更高。结论社区高血压患者血脂障碍普遍存在,糖尿病和肥胖会增加血脂障碍发生的可能性。
Objective To investigate the epidemiological characteristics of various dyslipidemia in adult hypertensive patients in Wujiaochang street community. METHODS: A total of 1842 hypertensive patients (853 males and 989 females) were enrolled in the community using a multistage sampling method and were ≥40 years old. Lipid-poor lipid manifestations follow the European Association of Atherosclerosis Guidelines (1992). Results The most common dyslipidemia was simple hypercholesterolemia with an average incidence of 35.3% (33.6% in males and 36.8% in females). The average incidence of mixed hyperlipidemia was second, Was 15.9%; simple hypertriglyceridemia ranked third, accounting for about 6.1%; hypoalbuminemia and severe hyperlipidemia accounted for 2.5% and 3.7% respectively; mixed high triglycerides - low The least amount of patients with lipoproteinemia, accounting for 0.5% (male 0.7%, female 0.4%). Diabetic patients with simple hypertriglyceridemia, mixed hyperlipidemia and severe hyperlipidemia patients a higher proportion. Relative to the standard weight, obese hypertriglyceridemia, mixed hypertriglyceride - hypoalbuminemia, mixed hyperlipidemia and severe hyperlipidemia patients a higher proportion. Conclusion The prevalence of dyslipidemia is common in community-based hypertensive patients. Diabetes and obesity may increase the risk of dyslipidemia.