社区65岁以上老人血脂异常及与 Hb 的相关性分析

摘要

Objective To understand the blood lipid levels and abnormal conditions of the senior citizens aged over 65 in Shenz-hen city and provide a scientific basis for prevention of dyslipidemia.Furthermore,to investigate the influence of dyslipidemia on the result of hemoglobin(Hb).Methods Through random investigation of 252 samples aged over 65 in Shenzhen on their fasting serum TC,TG,HDL-C,LDL-C and Hb in peripheral venous blood and analyze current situation of dyslipidemia.By comparing the groups with dyslipidemia (A,B,C,D group)and group with normal blood lipid (E group),investigation on the influence of dyslipidemia on Hb was conducted.Results The total prevalence of dyslipidemia was 48.02%,TG,TC,LDL-C,HDL-C prevalence was 26.19%, 32.14%,25.79%,17.86% respectively.The average value of TG,TC,LDL-C,HDL-C respectively was(1.53 ±0.66),(4.79 ± 0.90),(2.96±0.77),(1.28±0.26)mmol/L.The prevalence and the difference of average level on TG between male and female was significant in statistics(P <0.01).There had been statistical differences of Hb among groups A,B and group E(P <0.05 ). Conclusion The total prevalence of dyslipidemia of people over the age of 65 in Shenzhen is higher than average,especially in TC. There is interference on Hb when TG,TC is abnormal.Therefore,emphasis should be laid clinically and related rectification must be carried out to ensure the accuracy of Hb.%目的：了解深圳社区65岁以上人群的血脂水平，为血脂异常防治提供参考，同时探讨血脂异常对血红蛋白（Hb）检测结果的影响。方法随机检测252例深圳社区65岁以上老人的 Hb 和三酰甘油（TG）、总胆固醇（TC）、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）水平，分析血脂异常患病情况，分别将血脂异常组（A、B、C、D 组）和血脂正常组（E 组） Hb 检测结果进行比较，探讨血脂异常对 Hb 相关影响。结果血脂异常的总患病率为48．02％，TG、TC、LDL-C、HDL-C 异常的患病率分别为26．19％、32．14％、25．79％、17．86％，血脂四项总体均值水平分别为（1．53±0．66）、（4．79±0．90）、（2．96±0．77）、（1．28±0．26）mmol／L；男、女性 TG 异常患病率比较差异有统计学意义（P ＜0．01）；A、B 组 Hb 水平与 E 组比较差异有统计学意义（P ＜0．05）。结论该地区65岁以上老年人群血脂异常患病率较高，以 TC 升高为主；TG、TC 异常对 Hb 检测结果有一定干扰，临床上应引起重视，对此类患者的 Hb 结果应当进行校正，以免影响临床诊断。