职业健康体检人群血脂水平调查分析

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目的了解职业体检人群血脂水平及血脂异常发生率,并分析其影响因素。方法选取2015年1月-2016年12月本中心健康体检者1 557例为研究对象,检测血脂水平,并按不同年龄段进行分组,比较血脂异常率。结果男性TG、LDL-C总体水平高于女性,女性HDL总体水平高于男性,差异均有统计学意义(P<0.01),TC水平在男、女间差异无统计学意义(P>0.05);女性4项血脂水平与年龄增加呈正相关;男、女性血脂异常率比较差异有统计学意义(χ~2=56.8,P<0.01);男性血脂4项指标异常率均高于女性,差异有统计学意义(P<0.01);男性41岁~60岁组TG、TC、LDL-C异常率达到较高值。女性>50岁组TG、TC、LDL-C的异常率均有较大幅度的增长。结论对40岁以上男性和更年期女性等高发人群,应加强对血脂的定期监测,做到早预防、早治疗,控制降低人群血脂水平,对预防和减少心、脑血管疾病具有重要意义。 Objective To understand the level of blood lipid and the incidence of dyslipidemia in occupational health examination population and analyze the influencing factors. Methods A total of 1 557 healthy subjects from January 2015 to December 2016 in our center were enrolled in this study. Serum lipids levels were measured and divided into groups according to different age groups. The rates of dyslipidemia were compared. Results The overall levels of TG and LDL-C in males were higher than those in females. The overall level of HDL in females was higher than that in males (P <0.01). There was no significant difference in the levels of TC among males and females (P> 0.05) . There was a positive correlation between four lipid levels and age in females. There was significant difference in the rate of dyslipidemia between males and females (χ ~ 2 = 56.8, P <0.01). The abnormal rates of four indicators of lipid in males were higher than those in females (P <0.01). The abnormal rates of TG, TC and LDL-C in male between the ages of 41 and 60 were higher than those in the control group. The abnormal rates of TG, TC and LDL-C in women> 50 years old increased significantly. Conclusion For people over 40 years old and menopausal women and other high-risk population, we should strengthen the regular monitoring of blood lipids, so early prevention, early treatment, and control of blood lipid levels in the crowd, to prevent and reduce cardiovascular and cerebrovascular diseases is of great significance.
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