论文部分内容阅读
目的探讨连续2年健康体检人群血脂水平和血脂异常的动态变化以及血脂异常的发生率。方法收集2010年和2011年连续2年在天津市某中心医院健康体检中心进行体检的701人的体检结果,包括总胆固醇(TC)、甘油三酯(TG)等数据。对该人群不同组别各年份的血脂水平、血脂异常检出率及发生率进行统计分析。结果 (1)男女血TG和TC含量2年间自身比较,差异均无统计学意义(P>0.05);各年份50岁以下TG平均水平以及2年差值的平均水平、各年份30岁以下TC平均水平,均显示男性高于女性,差异均有统计学意义(P<0.01)。各年份50～岁以上男女的TC平均水平以及女性的TG平均水平,均高于各自其他年龄组,差异均有统计学意义(P<0.01)。(2)各年份40岁以下男性的TG、TC异常检出率高于女性,而且50岁以上女子TC异常检出率高于其他各年龄组,差异均有统计学意义(P<0.01)。男女各年份TC异常检出率均显示随年龄增长而增高的趋势。(3)男性TG异常发生率(20.2%)高于女性(5.63%),差异有统计学意义(χ2=21.846,P<0.01),而男女TC异常发生率(分别为7.79%、4.87%)之间差异无统计学意义(χ2=1.932,P>0.05),并且男女50岁及以上组TC异常发生率均高于50岁以下组,差异有统计学意义(P<0.05,P<0.01)。结论男女健康查体者各年龄组TC和TG2年间的平均水平和异常检出率无明显变化,40岁以下成年男子TG和TC异常检出率和发生率高于女性,而50岁以上女子TC异常发生率较高。长期进行血脂监测在健康查体人群中非常必要。
Objective To investigate the dynamic changes of blood lipid level and dyslipidemia and the incidence of dyslipidemia in two consecutive years of physical examination. Methods The physical examination results of 701 people, including total cholesterol (TC) and triglyceride (TG), were collected for physical examination in 2010 and 2011 in a health center of a central hospital in Tianjin. The blood lipid level, dyslipidemia detection rate and incidence of different groups in different years in this population were statistically analyzed. Results (1) There was no significant difference in TG and TC levels between men and women in two years (P> 0.05). The average level of TG below 50 years old and the average level of two years difference in each year were less than 30 years old The average level showed that men than women, the differences were statistically significant (P <0.01). The average level of TC in men and women over 50 years old in each year and the average level of TG in females were higher than those in other age groups. The differences were statistically significant (P <0.01). (2) The detection rate of abnormal TG and TC in males under 40 years of age was higher than that of females in all years, and the detection rate of TC abnormalities in women over 50 years old was higher than other age groups (P <0.01). The detection rate of TC anomaly in men and women in each year showed an increasing tendency with age. (3) The prevalence of TG in males was higher than that in females (5.6%) (20.2%), the difference was statistically significant (χ2 = 21.846, P <0.01) (Χ2 = 1.932, P> 0.05), and the incidence of TC abnormalities in both men and women aged 50 years and over were higher than those under 50 years old, the difference was statistically significant (P <0.05, P <0.01) . Conclusions There is a change in mean and daily prevalence rates of TC and TG2 between men and women in all age groups. The prevalence and incidence of TG and TC abnormalities in adult men under 40 years old are higher than those in women over 50 years old A higher incidence of abnormalities. Long-term blood lipid monitoring in the physical examination of people is very necessary.