目的 了解维汉空腹血糖受损人群血脂情况及高LDL-c血症相关危险因素.方法 通过对新疆地区30~80岁维族和汉族居民进行横断面调查,筛查空腹血糖受损人群比较两个民族的血脂代谢差异并对可能影响LDL-c的危险因素进行相关性分析.结果 实际调查人数4 709人,筛查出IFG患者共1 757例.IFG人群血脂代谢紊乱的患病率维族组99.8%较汉族组63.7%高,P<0.05,差异具有统计学意义.维族组的高TC血症、高TG血症、高LDL-c血症、低HDL-c血症患病率均高于汉族组,P<0.05,差异具有统计学意义.Logistic回归显示,LDL-c升高的危险因素:维族组为年龄、TC及餐后2 h血糖;汉族组为男性和TC.结论 新疆地区IFG人群中,维族出现血脂紊乱患病率高于汉族.在维族患者中,增龄、总胆固醇及餐后2 h血糖升高,与LDL-c增加相关.在汉族患者中,男性和总胆固醇水平升高,与LDL-c水平升高相关.%Objective Analysis the distributing of blood lipid metabolism and the risk factor Xinjiang uighur nationalityand han nationality with impaired fasting glucose.Methods A cross-sectional survey was conducted comprised a large sample of uyghur and han populations aged 30 to 80 years old in xinjiang, compared the serum lipid levels of subjects with impaired fasting glucose. Made a correlation analyzed to ifnd out the risk factors of high LDL-c.Results There were 4 709 people actually surveyed. While a total of 1 757 patients with IFG were screened out. Among the IFG patients, uighur groups was 99.8% higher prevalence of dyslipidemia than that of han groups 63.7%, P<0.05, had difference statistically signiifcance. The wei nationality group hypercholesteremia, hypertriglyceridemia, low HDL-C prevalence rate were higher than the han nationality, P<0.05, had difference statistically significance, Logistic regression analysis revealed that risk factors associated with LDL-c were age, total cholesterol and 2 hours postprandial blood glucose in the uighur patients with IFG. However, gender and total cholesterol were risk factors for han patients. Conclusion In IFG population, uighur patients had higher incidence of dyslipidemia than han patients. In uyghur patients, age, TC and 2 hours PBG were inlfuence factors for LDL-c. In han patients, male and tatal cholesterol level has increase, it related to LDL-c level raise.
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