杨莉丽 刘森林（上海市奉贤区青村镇钱桥社区卫生服务中心 上海 201407）

社区老年人血脂异常检出情况分析

杨莉丽 刘森林
（上海市奉贤区青村镇钱桥社区卫生服务中心 上海 201407）

摘 要目的：了解社区老年人血脂异常的患病情况，以便对血脂异常及早干预。方法：分析2 924名65岁以上社区老年人健康体检的血脂检查结果，分别统计不同性别和各年龄组血脂异常率，与体质指数的相关性。结果：2 924名老年人中共1 531例血脂异常，血脂异常总检出率为52.36%，女性血脂异常检出率（54.27%，916/1 688）高于男性(49.76%，615/1 236)。BMI≥24组血脂异常检出率（61.76%）高于BMI＜18.5和18.5≤BMI＜24组（35.61%和45.17%），组间比较差异有统计学意义(χ2=92.39，P＜0.01)。结论：社区老年人血脂异常患病率高，要强化自我保健意识，提早干预。

关键词老年人 健康体检 血脂异常

Analysis of the dyslipidemia
detection in the community elderly people

YANG Lili, LIU Shenlin
(Qianqiao Community Health Service Center of Qingcun Town of Fengxian District, Shanghai 201407, China)

ABSTRACTObjective: To investigate the prevalence of dyslipidemia in the community elderly people in order to perform the early intervention on it. Methods: The blood lipid test result of the physical examination in 2 924 elderly people aged 65 years old and over was analyzed. The correlation of the dyslipidemia rate in the different gender and age groups with the physical fitness index was calculated. Results: Dyslipidemia was found in 1 531 among 2 924 elderly people. Its total detection rate was 52.36%. The detection rate of dyslipidemia was (54.27%, 916/1 688) in the female, which was higher than (49.76%, 615/1 236) in the males. The detection rate of dyslipidemia was (61.76%) in BMI≥24 group which was higher than that in BMI＜18.5 and 18.5≥BMI＜24 groups (35.61% and 45.17%) and the difference among groups had the statistical significance (χ2=92.39，P＜0.01). Conclusion: The prevalence of dyslipidemia in the community elderly people is high and it is necessary to strengthen the self health care consciousness and perform the early intervention.

KEY WORDSelderly people; physical examination; dyslipidemia

血脂异常是心血管疾病的重要危险因素之一，中、老年人群是血脂异常的主要群体，是心脑血管疾病的高发人群[1]。本文分析社区老年人血脂异常情况，以便及早采取干预措施，降低心脑血管疾病的发生率。

1 对象和方法

1.1 对象

收集2014年4月至2014年5月在上海市奉贤区青村镇钱桥社区卫生服务中心进行免费健康体检的65岁以上老年人，共2 924名，其中男性1 236名，女性1 688名；年龄65~97岁，平均（73.24+6.21）岁；其中65~69岁 1 073名，70~79岁1 318名，80岁以上533名。

1.2 方法

体检者空腹12 h后，清晨抽取前臂静脉血，采用迈瑞BS-220全自动生化分析仪检测胆固醇（TC）和三酰甘油（TG）。血脂异常诊断标准依据《中国血脂异常防治指南》(2007年版)[2]：TC≥5.18 mmol/L，TG≥1.70 mmol/L，有符合其中1项或1项以上者，即判定为血脂异常。分别计算不同性别和各年龄组血脂异常率。……