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目的调查飞行员血脂水平现状及血脂谱异常特征,并提出血脂异常防治策略及血脂水平划分标准的建议。方法收集了按我国血脂测定标准化要求测定的591例飞行员、144例其他空勤人员(年龄21-55岁)的血脂谱,1136例普通人群作为对照进行统计分析。每组再按每5岁年龄段分组,分为7个年龄组。分析3组人群不同年龄组血浆三酰甘油(TG)、总胆固醇(TC)、高密度脂蛋白-胆固醇(HDL-C)和低密度脂蛋白-胆固醇(LDL-C)水平及其异常发生率。结果飞行员高TG血症占首位,异常发生率为26．73％。低HDL-C、高TC、高LDL-C异常发生率分别为 10．02％、7．28％、6．30％。血脂异常高发生率年龄在36-55岁间,尤其是41-55岁间。血脂异常发生率与飞行员年龄、飞行时间有关,与飞行机种无关。飞行员高TG年龄比普通人群早5岁,HDL-C 降低年龄比其TG增高年龄晚10岁,高TC、高LDL-C年龄比普通人群迟5-10岁。飞行员和其他空勤人员高TC发生率,与普通人群相比,差异有显著意义(P<0．05)。与20年前调查结果相比,飞行员TG水平明显增高、HDL-C水平略有降低,血脂谱已由20年前的高TC血症转变成以高TG、低 HDL-C血症为主要特征。本组飞行员与欧洲飞行员相比,血脂异常高发生率年龄段相似,高TG、低 HDL-C血症发生率相似,而高TC血症发生率却远远低于欧洲飞行员。结论飞行员血脂异常防治策略以高TG、低HDL-C为首要目标。提出了我军飞行员血脂水平划分标准和血脂异常防治方案的初步建议。
Objective To investigate the current situation of blood lipid level and the abnormal characteristics of blood lipid profile in pilot pilots and to propose the prevention and control strategies for dyslipidemia and the criteria for dividing blood lipid levels. Methods The blood lipid profile of 591 pilots and 144 other flight attendants (aged 21-55 years old) measured according to the standardization of lipids determination in our country was collected and 1136 common people were collected for statistical analysis. Each group is divided into 5-year-old age groups, divided into seven age groups. The levels of triglyceride (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL-C) and their abnormalities in different age groups were analyzed. . Results The pilots had the highest incidence of TG hyperlocia, with an abnormal incidence rate of 26.73%. Low HDL-C, high TC, high LDL-C abnormalities were 10.02%, 7.28%, 6.30% respectively. High incidence of dyslipidemia aged 36-55 years, especially 41-55 years old. The incidence of dyslipidemia and pilot age, the time of flight, has nothing to do with the flight model. Pilots with high TG are 5 years older than the general population, HDL-C is 10 years younger than its TG, and high TC and high LDL-C are 5-10 years later than the general population. Pilots and other aircrew high TC incidence, compared with the general population, the difference was significant (P <0.05). Pilot TG levels were significantly higher and HDL-C levels slightly lower compared to the results of 20 years ago, and the lipid profile was predominantly changed from hypercholesterolemia 20 years ago to hyper TG and hypo HDL-C . Compared with European pilots, the pilots of this group had similar incidence of dyslipidemia, similar incidence of high TG and low HDL-C, but incidence of hyperlipidemia was much lower than that of European pilots. Conclusions The pilot strategy of prevention and treatment of dyslipidemia is to target high TG and low HDL-C. Put forward our army pilots lipid level classification criteria and the first proposal of prevention and treatment of dyslipidemia.