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目的了解宁波市成年人血脂紊乱与高血糖的关系,为高血脂和高血糖防治工作提供依据。方法调查宁波市某区≥20岁常住居民,从体检系统获取数据,调整性别、年龄、体质指数和血压等因素后,进行二分类多因素Logistic回归分析。结果调查有效人数总计2 399人,发现血脂紊乱956人,血脂紊乱患病率为39.85%;发现高血糖865人(其中糖尿病329人,糖尿病前期536人),其中糖尿病患病率为13.71%,糖尿病前期患病率为22.34%。甘油三酯与高糖耐量血糖有关联(调整OR 1.27~1.94),与空腹血糖过高无关联(P>0.05)。未发现HDL-C降低与空腹血糖过高、高糖耐量血糖有关联。结论宁波市成年人血脂紊乱与高血糖相关,但在不同血脂组分间表现不同。在糖尿病防治工作中需重视高血脂的防治。
Objective To understand the relationship between dyslipidemia and hyperglycemia in adults in Ningbo and to provide basis for the prevention and treatment of hyperlipidemia and hyperglycemia. Methods A total of 20-year-old residents in a district of Ningbo city were surveyed. Data were obtained from the physical examination system and adjusted for gender, age, body mass index and blood pressure. Results A total of 2 399 valid persons were investigated. The prevalence of dyslipidemia was 956 and the prevalence of dyslipidemia was 39.85%. Hyperglycemia was found in 865 people (329 with diabetes and 536 with pre-diabetes), and the prevalence of diabetes was 13.71% The pre-diabetes prevalence was 22.34%. Triglyceride was associated with high glucose tolerance (adjusted OR 1.27 ~ 1.94), but not with fasting hyperglycemia (P> 0.05). No reduction in HDL-C was found to correlate with fasting blood glucose and high glucose tolerance. Conclusion The dyslipidemia of adults in Ningbo is related to hyperglycemia, but different in different lipid components. In the prevention and treatment of diabetes need to pay attention to the prevention and treatment of hyperlipidemia.