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甘肃天祝藏族自治县居民血脂水平调查
Serum lipids levels in Tianzhu Tibetan autonomous county’residents in Gansu province
目的 了解甘肃天祝藏族自治县居民血脂水平及血脂异常发生率。 方法 采用整群随机抽样方法，选择长期居住该县境内的18～74岁汉族和藏族居民479人为研究对象。按年龄分为：18～34岁、35～44岁、45～54岁、55～64岁、65岁以上5个年龄组。所有调查对象均进行血脂等指标测定，并根据2007年中国成人血脂异常防治指南血脂测定标准对血脂异常与否进行判断。 结果 1.该地区居民血脂异常发生率为42.17%，血脂异常类型主要以高TG、低HDL–C为主。2.血脂异常发生率以45～54岁组最高。包括男女性高TC血症、高TG血症、高LDL- C血症均为人群最高发生率。3.血脂异常率表现为男性随年龄增长持续降低，女性随年龄增长总体呈上升趋势。45岁以上女性血脂水平及血脂异常发生率增长速度均快于男性。4.汉族和藏族血脂异常发生率以及4项血脂指标异常率比较均无差异。 结论 甘肃天祝藏族自治县居民具有较高的血脂异常发病率，不同性别的血脂异常发病率和类型有较大差异。
Objective To investigate the level of serum lipids and the prevalence rate of abnormal serum lipids (ASLs) in Tianzhu Tibetan Autonomous County’residents in Gansu Province. Methods Serum lipids of 479 Han and Tibetan residents aged from 18 to 74 were collected by cluster random sampling. The participants were assigned into five age groups: 18-34, 35-44, 45-54, 55-64 and over 65 years old groups. The prevalence rate of ASLs was calculated accordance with diagnostic criteria for ASLs in China’s adult dyslipdemia prvention guide in 2007. Results The prevalence rate of ASLs of the residents in this county was 42.17%. High triglyceride（TG）and low high density lipoprotein-cholesterol（HDL-C）were the main types. The prevalence rate of ASLs was the highest in 45-54 years old group. The high total cholesterol (TC), high TG and high Low density lipoprotein-cholesterol (LDL-C) were all highest in 45-54 years old group for males and females. The prevalence rate of ASLs decreased in males and increased in females with ages. The prevalence rate of all types of ASLs was higher in females than in males beyond 45 years old. There was no difference of the prevalence rate of ASLs and abnormal rate of four measures of blood lipids between Han and Tibetan residents. Conclusion The prevalence rate of ASLs is relatively high in Tianzhu Tibetan Autonomous County ′residents in Gansu Province，and there are more variations of incidence and categories of ASLs between genders.
Tianzhu Tibetan autonomous county /
Serum lipid /
Dyslipidemia /
Serum lipid measurement /
Tibetan
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