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2010年新疆维吾尔族、哈萨克族及汉族成年人血脂异常的流行特点
作者:李亚鹏 马儒林 张眉 刘佳铭 丁玉松 郭恒 张景玉 李述刚 孙凤 郭淑霞
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摘要:

   目的分析2010年新疆地区维吾尔族、哈萨克族及汉族成年居民血脂异常的患病现状及分布特点。方法2010年采用分层整群随机抽样方法,抽取年龄≥18岁的维吾尔族居民3625名,男性1773名,女性1852名,年龄为(4289±1595) 岁;哈萨克族居民4148名,男性1649名,女性2499名,年龄为(4414±1327) 岁;汉族居民3733名,男性1563名, 女性2170名,年龄(4966±1224) 岁,共调查了11 506名。进行问卷调查和身体检查,抽取空腹静脉血检测TG、TC、LDLC和HDLC。结果维吾尔族调查对象TG、TC、HDLC和LDLC水平分别为(131±103)、(444±120)、(141±062)和(244±081) mmol/L;哈萨克族分别为(124±099)、(455±131)、(141±062)和(240±087) mmol/L;汉族分别为(162±134)、(460±110)、(116±068)和(223±093) mmol/L。维吾尔族、哈萨克族及汉族血脂异常患病率分别为:424%(1537/3625)、316%(1311/4148)、302%(1127/3733),标化患病率分别为:424%、318%、282%,维吾尔族血脂异常患病率高于哈萨克族和汉族,差异有统计学意义(χ2=17987,P<001)。维吾尔族、哈萨克族和汉族男性血脂异常的标化患病率分别为526%、354%、332%,维吾尔族男性高于哈萨克族和汉族男性,差异有统计学意义(χ2=15919,P<001)。汉族、维吾尔族、哈萨克族高TG血症标化患病率分别为:93%,93%,173%,汉族高TG血症患病率高于维吾尔族及哈萨克族(χ2=17255,P<001)。哈萨克族的TC异常标化率(69%)高于维吾尔族(52%),差异有统计学意义(χ2=1020,P<001)。维吾尔族、哈萨克族、汉族的低HDLC血症标化患病率分别为:336%,208%,111%,维吾尔族高于哈萨克族和汉族(χ2=55282,P<001),哈萨克族高于汉族 (χ2=13801,P<001)。3个民族间的高LDLC血症差异均无统计学意义(P>005)。 结论新疆地区3个民族血脂异常患病率均高于全国患病率,且存在民族、年龄及性别间差异。

关键词:血脂异常;患病率;哈萨克族;维吾尔族;汉族

Abstract:

   ObjectiveTo investigate the prevalence of dyslipidemia among the Uyghur, Kazakh, and Han adults in Xinjiang Region and to analyze the features of distribution Methods3625 Uygur residents, 1773 males and 1852 females , aged (4289±1595) years old, 4148 Kazakh residents, 1649 males and 2499 females , aged (4414±1327) years old, and 3733 Han rtesidents, 1563 males and 2170 females,aged (4966±1224) years old, were selected by stratified cluster random sampling method in year 2010, 11 506 adults in total Questionnaire and physical examination were conducted, including fasting venous blood samples to test the levels of triglyceride (TG), total cholesterol (TC), low density lipoprotein cholesterol (LDLC), and high density lipoprotein cholesterol (HDLC) ResultsThe levels of TG, TC, HDLC and LDLC were separately (131±103), (444±120), (141±062), and (244±081) mmol/L in the Uygur adults; separately (124±099), (455±131), (141±062), and (240±087) mmol/L in the Kazakh adults; and (162±134), (460±110), (116±068), and (223±093) mmol/L in the Han adults, respectively The general prevalence of dyslipidemia in the Uygur, Kazakh, and Han adults were 424%(1537/3625), 316%(1311/4148), and 302%(1127/3733) respectively; while the agestandardized prevalence were separately 424%, 318%, and 282% The prevalence of dyslipidemia in the Uygur adults was significantly higher than it of the Kazakh and Han adults, with statistical significance (χ2=17987,P<001) The standardized prevalence of dyslipidemia in the Uygur males was 526%, significantly higher than it of the Kazakh and Han males (354% and 332%), with statistical significance(χ2=15919,P<001) The prevalence of hypertriglyceridemia among the Han adults was 173%, which was significantly higher than it among the Uyghur and Kazakh adults (χ2=17255,P<001) The prevalence of hypercholesterolemia in Kazakh (69%) was higher than it in Uygur (52%), with statistical significance(χ2=1020,P<001) The prevalence of low HDLC hyperlipidemia in the above 3 ethnics were 336%,208% and 111%, respectively; while Uygur was the highest(χ2=55282,P<001), followed by Kazakh, which was higher than Han(χ2=13801,P<001) There was no significant difference in the prevalence of high LDLC hyperlipidemia among the adults of the 3 ethnics ConclusionThe prevalence of dyslipidemia among the Uygur, Kazakh, and Han adults in Xinjiang were all higher than the national average prevalence, the distribution of dyslipidemia varied with ethnicity , age and sex

Key words: Dyslipidemia;Prevalence;Uygur;Kazakh;Han

发表日期:2013/10

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