首页|四川高原地区表观健康藏族成人血脂合适水平的建立

四川高原地区表观健康藏族成人血脂合适水平的建立

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目的 建立四川高原地区表观健康藏族成人胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)与低密度脂蛋白胆固醇(LDL-C)的合适水平,为该地区藏族成人高脂血症的防治提供更多依据.方法 选取2022年8月至2023年7月在我院进行健康体检的藏族人群2262例,其中男1322例,女940例,20~69岁,检测其血脂指标(血清TC、TG、HDL-C、LDL-C)水平.对结果进行正态性检验、离群值剔除,依据美国实验室标准化协会(CLSI)C28-A3文件及国际临床化学和检验医学联合会(IFCC)相关要求,建立TC、TG、HDL-C、LDL-C的合适水平.结果 该人群中,纳入研究的血脂指标均存在男女之间的差异,TC、LDL-C随年龄增长呈上升趋势,TG、HDL-C随年龄增长变化不明显.该人群中,TC男女合适水平分别为3.03~6.60mmol/L、2.84~6.09mmol/L;TG男女合适水平分别为0.56~3.94mmol/L、0.45~2.64mmol/L;HDL-C男女合适水平分别为0.66~1.49mmol/L、0.80~1.71mmol/L;LDL-C男女合适水平分别为1.51~4.56mmol/L、1.29~3.88mmol/L.结论 初步建立了四川高原地区表观健康藏族成人血脂指标合适水平,实验室应针对此类人群建立自己的合适水平,更有利于指导临床诊断及治疗.
The Development of Lipid Appropriate Level for Apparently Healthy Tibetan Adults in the Sichuan Plateau Region
Objective To establish appropriate levels of cholesterol (TC),triacylglycerol (TG),high-density lipoprotein cholesterol (HDL-C)and low-density lipoprotein cholesterol (LDL-C)in apparently healthy Tibetan adults in the Sichuan plateau region,and to provide better knowledge bases for the prevention and treatment of hyperlipidemia in Tibetan adults in this region.Methods 2262,including 1322 males and 940 females,aged 20-69 years old Tibetan people who underwent health checkups in our hospital from August, 2022 to July,2023 were selected to test levels of serum TC,TG,HDL-C,and LDL-C,which were the indicators of blood lipids.The results were tested for normality, while outliers were removed, and appropriate levels of TC,TG,HDL-C,and LDL-C were established according to the American Association for Laboratory Standardization (CLSI)C28-A3 document and the relevant requirements of the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC).Results In this population,there were differences between men and women in all lipid indicators included in the study,with TC and LDL-C showed an increasing trend with age,while TG and HDL-C showed insignificant changes with age.The appropriate levels of TC for men and women were 3.03-6.60mmol/L and 2.84-6.09mmol/L,respectively;The appropriate levels of TG for men and women were 0.56-3.94mmol/L and 0.45-2.64mmol/L, respectively;The appropriate levels of HDL-C for men and women were 0.66-1.49mmol/L,0.80-1.71 HDL-C levels were 0.66-1.49mmol/L and 0.80-1.71mmol/L for men and women,respectively;LDL-C levels were 1.51-4.56mmol/L and 1.29-3.88mmol/L for men and women,respectively.Conclusion In this study,the appropriate levels of lipid indices for apparently healthy Tibetan adults in the Sichuan Plateau region are established.The laboratories should set up their own appropriate levels for targeting population, which will be more conducive for guiding the clinical diagnosis and treatment.

LipidSichuan areaTibetanAppropriate levelPlateau

钟培英、廖山莹、高琪、王磊、李广权

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三六三医院检验科,四川 成都 610041

血脂 四川地区 藏族 合适水平 高原

四川省卫生计生委项目

2017PJ528

2024

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2024.31(1)
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