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目的探讨中老年人血脂异常性别差异,为血脂的干预工作提供参考数据和工作思路。方法随机抽取方庄地区45岁以上居民,以未进行过血脂干预为入选条件,进行血脂异常筛查。按照男女不同性别统计出各类血脂正常者和异常者,进行记数资料比较。结果女性高TC、高TG、LDL增高发生率高于男性,且差异有统计学意义。结论不同人群的血脂情况不尽相同,中老年女性的高脂血症发病率明显高于男性,说明生活方式不是影响血脂的唯一原因,中老年女性绝经期雌激素水平改变引起了血脂变化。因此在对血脂的干预中,生活方式的干预是首要措施,对于绝经后妇女还要注重激素方面的调节,在激素替代治疗(HRT)有争议的情况下,可从中医中药为主的治疗方式方面进行探索。
Objective To explore the gender differences in dyslipidemia in middle-aged and elderly people and provide reference data and working ideas for the intervention of blood lipids. Methods A random sample of residents over 45 years old in Fangzhuang area were selected for screening without lipid intervention. In accordance with the statistics of men and women of different types of blood lipids were normal and abnormal persons, count data comparison. Results The incidence of high TC, high TG and LDL in women was higher than that in men, and the difference was statistically significant. Conclusions The blood lipids in different populations are not the same. The incidence of hyperlipidemia in middle-aged and elderly women is obviously higher than that in men, indicating that lifestyle is not the only reason of affecting blood lipid. The changes of estrogen level in middle-aged and elderly women lead to changes of blood lipid. Therefore, in the intervention of blood lipids, lifestyle intervention is the primary measure for the postmenopausal women also pay attention to the regulation of hormones, hormone replacement therapy (HRT) in the case of controversy, from traditional Chinese medicine-based treatment Aspects of exploration.