【摘要】目的　调查贵阳市20岁以上成人居民血脂异常流行特点。方法　2009年11月至2010年2月，测定1514名调查对象的空腹甘油三酯(TG) 、总胆固醇(TC) 、高密度脂蛋白胆固醇(HDL-C) 及低密度脂蛋白胆固醇(LDL-C)。结果　血脂异常患病率为49.2%，男性、女性分别为58.8%、42.3%。低HDL-C患病率最高，为31.4%;高TG、高TC及高LDL-C患病率依次为21.1%、7.3%及5.9%。30~50岁中青年男性和绝经期的女性是血脂异常的高发人群。性别、年龄、腰围、体质指数及饮酒均是血脂异常的影响因素。结论　贵阳市成人血脂异常患病率高，30~50岁中青年男性和绝经期的女性应成为血脂异常防治工作的重点。

　　【关键词】　脂蛋白类;血脂异常;流行病学研究

　　Epidemiologic characteristics of dyslipidemia in adults in Guiyang City ZHANG Miao, PENG Nianchun, ZHANG Qiao. Department of Endocrinology and Metabolism, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China

　　Corresponding author: Peng Nian-chun, E-mail: pnch2001@126.com

　　【Abstract】 Objective To study the prevalence and epidemiologic characteristics of dyslipidemia of adults aged 20 and over in Guiyang City. Methods From Nov. 2009 to Feb. 2010, the levels of fasting triglyceride (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), and low density lipoprotein cholesterol (LDL-C) were determined in 1514 subjects. Results Among all subjects, the incidence of dyslipidemia was 49.2%, male and female were 58.8% and 42.3% respectively. The incidence of LDL-C was 31.4%. The incidence of high TG, high TC, and high LDL-C was in an order of 21.1%, 7.3%, and 5.9%. Those people who were 30~50 years old, male, and female in menopause were susceptible to dyslipidemia. Multivariate logistic regression analysis showed that gender, age, BMI, waist circumference, and drinking were significantly associated with dyslipidemia. Conclusion The prevalence of dyslipidemia was high in adults of Guiyang Ctiy, especially in the population of 30~50 years old males and menopause females. Special attention should be paid to them in the work of prevention of related diseases.

　　【Key words】Liporoteins; Dyslipidemias; Epidemiologic studies