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目的:了解在职医务人员的血脂水平及其影响因素为防治提供科学依据。方法:回顾性查阅某三级医院2015年参加健康体检的在职医务人员的体检资料1 270例,收集其血脂等相关体检数据,按性别、年龄、科室及岗位分组比较。采用非条件Logistic回归分析血脂异常的相关影响因素。结果:本组人员的血脂异常检出率(43.5%)较高。男性总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇水平和血脂异常检出率较女性高,高密度脂蛋白胆固醇水平较女性低(均P<0.01)。≥40岁组的TC、TG水平及血脂异常检出率较≤40岁组高(均P<0.01)。非临床组的血脂异常检出率尤其是女性,较临床组高(P<0.01)。内科组和外科组的血脂异常检出率差异无统计学意义。多因素非条件Logistic回归分析显示,年龄增加、男性、超重和肥胖、血清转氨酶升高以及高尿酸血症者更容易出现血脂异常(OR>1.00且P<0.05),但血糖和血压在本研究中对血脂异常影响不大。结论:医务人员尤其男性及≥40岁者更应当注意血脂异常的防治。非临床医务人员的血脂异常情况较临床组更突出,尤其是女性。超重和肥胖、血清转氨酶升高以及高尿酸血症者需更加重视血脂异常的预防和早期发现。
Objective: To understand the level of blood lipid and the influencing factors of serving medical staff to provide scientific basis for prevention and treatment. Methods: A retrospective review of 1 270 cases of medical information on active medical staff in a tertiary hospital in 2015, collecting data on their blood lipids and other related physical examinations was conducted by grouping by gender, age, department and post. Non-conditional logistic regression analysis of the related factors of dyslipidemia. Results: The detection rate of dyslipidemia in this group was higher (43.5%). The detection rate of total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol and dyslipidemia were higher in males than in females and lower in those with high density lipoprotein cholesterol (all P <0.01). The detection rates of TC, TG and dyslipidemia were higher in ≥40 years old group than in ≤40 years old group (all P <0.01). The detection rate of dyslipidemia in non-clinical group was especially higher in women than in clinical group (P <0.01). There was no significant difference in the detection rate of dyslipidemia between the internal medicine group and the surgical group. Multivariate non-conditional Logistic regression analysis showed that, with age, men, overweight and obesity, elevated serum transaminases and hyperuricemia were more likely to have dyslipidemia (OR> 1.00 and P <0.05), but blood glucose and blood pressure in this study In the dyslipidemia little effect. Conclusion: Medical staff, especially men and ≥ 40 years of age should pay more attention to the prevention and treatment of dyslipidemia. Dyslipidemia in non-clinicians was more pronounced than in the clinical group, especially in women. Overweight and obesity, elevated serum transaminases and hyperuricemia need to pay more attention to the prevention and early detection of dyslipidemia.