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中国初级卫生保健:2019,33(11):66-68
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上海市嘉定区糖尿病高危人群血脂异常患病情况及影响因素研究
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中文摘要: 目的 调查上海市嘉定区糖尿病高危人群血脂异常患病情况及影响因素。方法 在上海市嘉定区13个街镇随机抽取3个街镇,再在抽中的街镇抽取3个居委作为研究现场,选取年龄在30岁以上的常驻居民为调查对象。通过问卷调查和实验室检测收集调查对象的一般资料和实验室数据。结果 本研究共调查糖尿病高危人群2 526人,其中男性1 055人,女性1 471人;糖尿病高危人群血脂异常患病率为31.43%(1项及以上血脂指标异常),高TC血症、高TG血症、低HDL-C血症和高LDL-C血症患病率分别为11.56%、13.42%、9.11%和14.89%。分层分析发现,不同年龄、性别、超重肥胖、腹型肥胖、血压的患者血脂异常比较,差异有统计学意义;血脂异常组的空腹静脉血糖和糖化血红蛋白值高于正常组,差异有统计学意义;logistic 回归分析显示,超重肥胖、腹型肥胖、空腹静脉血糖和糖化血红蛋白是糖尿病高危人群血脂异常的危险因素。结论 糖尿病高危人群应控制血糖和体重,以减少血脂异常和心血管事件的发生风险。
中文关键词: 糖尿病  高危人群  血脂异常  危险因素
Abstract:OBJECTIVE To investigate the prevalence and analyze the risk factors of high risk population of diabetes in Jiading District, shanghai. METHODS 3 towns were randomly selected from 13 towns in Jiading District of Shanghai, and 3 neighborhoods were selected as study field from these 3 towns. Residents over 30 years old were surveyed. RESULTS A total of 2 526 people with high risk of diabetes were investigated, including 1 055 males and 1 471 females. The prevalence of dyslipidemia was 31.43%(aAbnormality of one or more blood lipid indices), and the prevalence of high TC hyperlipidemia,high TG hyperlipidemia, low HDL-C hyperlipidemia and high LDL-C hyperlipidemia were 11.56%, 13.42%, 9.11% and 14.89% respectively. Stratification analysis found that there were differences in dyslipidemia with different age, sex, overweight obesity, abdominal obesity and blood pressure patients, the difference was statistically significant. The fasting blood glucose and glycosylated hemoglobin values in the dyslipidemia group were higher than those in the normal group, the difference was statistically significant. Logistic regression analysis showed that overweight obesity, abdominal obesity, fasting blood glucose, and glycosylated hemoglobin were risk factors for dyslipidemia in high-risk populations with diabetes mellitus. CONCLUSION People at high risk of diabetes should control blood glucose and control weight to reduce the risk of dyslipidemia and cardiovascular events.
文章编号:3201911021     中图分类号:R1-10    文献标志码:
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