北京市某功能社区居民血脂异常患病现况及其影响因素分析

摘要

目的 调查北京市某功能社区居民血脂异常患病现况,并分析其影响因素.方法 选取2012年5-6月于北京市某功能社区医院体检的社区居民1 043例,剔除临床资料不全者97例,实际纳入946例作为调查对象,根据血脂异常情况分为血脂异常组302例与非血脂异常组644例.查阅所有社区居民电子健康档案,记录其人口学特征(性别、年龄、受教育程度),检测其空腹血糖(FPG)、血肌酐(Scr)、血尿酸(BUA)、丙氨酸氨基转移酶(ALT)及血脂指标〔总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)〕.比较不同人口学特征北京市某功能社区居民血脂异常和血脂边缘升高检出情况,血脂异常的影响因素分析采用多因素Logistic回归分析.结果 946例社区居民中检出血脂异常者302例,血脂异常检出率为31.9％.不同性别、年龄社区居民血脂异常检出率比较,差异无统计学意义(P>0.05);不同受教育程度社区居民血脂异常检出率比较,差异有统计学意义(P<0.05).946例社区居民中检出血脂边缘升高193例,血脂边缘升高检出率为20.4％.不同性别、年龄、受教育程度社区居民血脂异常边缘升高检出率比较,差异无统计学意义(P>0.05).两组社区居民性别、受教育程度、FPG、Scr、BUA、ALT比较,差异有统计学意义(P<0.05);两组社区居民年龄比较,差异无统计学意义(P>0.05).多因素Logistic回归分析结果显示,BUA〔OR=1.003,95％CI(1.001,1.006)〕、ALT〔OR=1.020,95％CI(1.008,1.032)〕是社区居民血脂异常的影响因素(P<0.05).结论 北京市某功能社区居民血脂异常患病率较高,而BUA、ALT是社区居民血脂异常的影响因素.%Objective To investigate the prevalence of dyslipidemia in a functional community in Beijing,to analyze the influencing factors of dyslipidemia.Methods A total of 1,043 community residents admitted to the community hospital for physical examination were selected in a functional community in Beijing from May to June in 2012,thereinto 97 cases′clinical data was incomplete,thus 946 community residents enrolled in this survey finally,and they were divided into A group(with dyslipidemia,n=302)and B group(without dyslipidemia,n=644)according to the incidence of dyslipidemia.Electronic health records were consulted to collect the demographic characteristics,including gender,age and educational level,and laboratory examination indicators were detected,including FPG,Scr,BUA,ALT and blood lipids(including TC,TG,LDL-C and HDL-C).Detection rates of dyslipidemia and borderline dyslipidemia were compared in community residents with different demographic characteristics,and influencing factors of dyslipidemia were analyzed by multivariate Logistic regression analysis.Results Detection rate of dyslipidemia was 31.9％(302/946).No statistically significant differences of detection rate of dyslipidemia was found in community residents with different gender,with different age(P>0.05),while there was statistically significant differences of detection rate of dyslipidemia in community residents with different educational levels(P<0.05).Detection rate of borderline dyslipidemia was 20.4％(193/946).No statistically significant differences of detection rate of borderline dyslipidemia was found in community residents with different gender,with different age,or with different educational levels(P>0.05).There were statistically significant differences of gender,educational level,FPG,Scr,BUA or ALT was found between the two groups(P<0.05),while no statistically significant differences of age between the two groups(P>0.05).Multivariate Logistic regression analysis results showed that,BUA〔OR=1.003,95％CI(1.001,1.006)〕 and ALT〔OR=1.020,95％CI(1.008,1.032)〕were influencing factors of dyslipidemia in community residents(P<0.05).Conclusion The prevalence rate of dyslipidemia is relatively high in a functional community in Beijing,BUA and ALT are influencing factors of dyslipidemia in community residents.