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1、上海某社区50岁以上人群血脂异常流行病学调查分析1上海市闵行区梅陇社区卫牛服务中心201101；2上海市闵行区疾病预防控制中心201101摘要：目的：了解上海近郊某社区50岁以上人群血脂异常分布特征，为社区中老年人群心血管疾病防治提供基木依据。方法采用分层整群随机抽样法，随机抽取13272例50岁以上人群,检测血清胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL-C)和高密度脂蛋白(HDL-C)水平，对彳、同年龄和性别的血脂异常率进行比较。结果血脂异常率48.33%,50~、60~、70~和&洋;80岁分别为53.26%、49.7
2、3%、43.17%和44.43%,以50~岁最高。女性血脂异常率(55.56%)高于男性(38.70%),男性异常率随年龄增长而降低，女性各年龄组异常率无差异。TC、TG、HDL-C和LDL・C异常率分别为28.87%、20.40%、13.01%和3.65%；TC、TG和HDL・C异常率均随年龄逐渐降低，而LDL・C异常率以60~岁最高;女性TCADL-C异常率高于男性，女性HDL・C异常率低于男性。结论上海近郊某社区50岁以上人群血脂异常普遍，以女性、50-59岁男性人群，以及高TG、TC为主。应积极开展社区综合防治，加强对重点对象血
3、脂水平的控制。关键词：血脂水平；血脂异常；中老年人；社区[Abstract]OBJECTIVETolearnlipiddyslipidemiastatusoftheelderlyover50yearsofcommunityinShanghaisuburbs.METHODSStratifiedclusterrandomsamplingmethodwasusedtoselect10neighborhoodcommitteesinthesuburbcommunityofShanghai.Demographicinformationwascol
4、lected.Fastingplasmalevelsoftotalcholesterol(TC),triglyceride(TG)andhigh-densitylipoproteincholesterol(HDLC),low-densitylipoproteincholesterol(LDLC)weredetermined.Lipiddyslipidemiaratebetweendifferentagesandgenderwerecompared.RESULTSThereweretotally13,272elderlyover50yea
5、rsforthestudy.Dyslipidemiaratewas48.33%totally.Therateofeachagegroup50/"^60~、70~、and≥80yearwere53.26%,49.73%,43.17%and44.43%respectively,amongwhichagegroupof50~tookthehighestpart.Thedyslipidemiarateofwomen’swashigherthanthatofmen’swithsignificantlydifferen
6、ce(55.56%vs38.70%).Therateofeachagegroupformenwere46.90%,42.08%,30.76%and28.90%,anditdecreasedwithageincreasing.Whiletherewasnosignificaneeamongagegroupforwomen.DyslipidemiaratesofTC,TG,LDL-CandHDL-Clevelwere28.87%,20.40%,13.01%and3.65%respectively.Thedyslipidemiaratesof
7、TC,TGandHDL-Cdecreasedwithagesignificantly,andtherateofagegroupbetween50~59wasthehighestamongagegroups.However,theabnormalityrateofLDL-Cof60~69yearstookthehighestpart.Thelevelofeachindexforwomenwashigherthanmensignificantly.TheabnormalityratesofTC,LDL-Cforwomenwereallhig
8、herthanmen,whereastherateofHDL-Cwastotheoppositebetweengender.CONCLUSIONSItwasconeludedthatdyslipidemia
