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目的 分析 90年代末期在上海居民生活水平提高情况下的血脂值 ,并与 70～ 80年代作的调查进行比较 ,了解不同年龄段居民平均血脂水平的变化。方法 采集 1997年至 1999年上海市工厂 ,机关 ,企、事业单位 ,学校等职工和学生健康体检血样以及新生儿脐带血共 36 47名 ,测定血脂项目包括总胆固醇 (TC)、甘油三酯 (TG)、低密度脂蛋白 (LDL C)、高密度脂蛋白 (HDL C)水平 ,从新生儿至 70岁以上按 10岁为一年龄组 ,男、女性分别进行统计学分析。结果 (1)血脂水平随年龄增长而增高 ,TC和LDL C 5 0岁以后女性高于男性 ,TG 5 0岁以后女性接近男性。HDL C则各年龄组女性均高于男性 ;(2 ) 90年代与 70年代相比TC和TG水平明显升高 ,分别增了 6 .79%～ 17.6 9%和2 1 95 %～ 45 .5 3% ,而HDL C则明显下降了 8.0 5 %～ 2 9.19% ;(3) 4 0岁以上人群TC和TG水平超过正常上限者 90年代 (TC男 11 5 7%、女 16 0 2 % ,TG男 4 40 % ,女 5 40 % )较 70年代 (TC男 4 40 %、女5 40 % ,TG男 5 2 0 %、女 5 70 % )明显增多 ;(4 ) 4 0岁以上组比 40岁以下组TC/HDL C≥ 4,同时TG≥1.70mmol/L的有明显升高 (男 2 0 .74%比 10 .99% ,女 13.32 %比 2 .0 6 % )。结论 随着居民生活水平的提高 ,平均血脂水平有上升趋势 ,必须十分注
Objective To analyze the blood lipids of Shanghai residents in the late 90s and to compare them with the surveys conducted in the 1970s and 1980s to understand the changes of average blood lipid levels among residents of different ages. Methods A total of 36 47 blood samples collected from Shanghai factories, institutions, enterprises, institutions, schools and other employees and students and neonatal umbilical cord blood samples from 1997 to 1999 were collected. The levels of total cholesterol (TC), triglyceride TG, LDL C and HDL C levels. From the newborn to the age of 70, the age group was 10 years old and male and female were respectively analyzed statistically. Results (1) The level of blood lipids increased with age, and TC and LDL C after 5 years old were higher than those in men, and TG was close to men after 50 years old. HDL C was higher in all age groups than in men; (2) TC and TG levels were significantly higher in the 1990s than in the 1970s, by 6.79% -17.69% and 21.95% -45.5, respectively 3%, while the HDL C decreased by 8.05% ~ 2 9.19%. (3) TC and TG levels in people over 40 years old exceeded the upper limit in the 90s (TC115 7%, female 16 0 2% 40 40% of TG men and 40 40% of women) were significantly higher than those of the 70’s (40 40% in TC, 40 40% in women, 52 20% in TG, and 5 70% in women); (4) The TC / HDL C≥4 in the group of 40 years old and the TG≥1.70mmol / L were obviously increased (20.74% in the male, 10.99% in the male, 13.32% in the female, 2.60% in the female). Conclusion With the improvement of residents’ living standard, average blood lipid level has an upward trend and must be very note