目的：研究福建地区汉畲族人群的血脂现况。方法在2009年4-9月期间，通过多阶段整群分层随机抽样在福建地区选择代表性样本8815例，最终参与分析的共8090例，年龄16～86岁，其中包括4831例畲族样本和3260例汉族样本。结果汉畲样本的总胆固醇（TC ）、高密度脂蛋白（HDL-C ）、低密度脂蛋白（LDL-C）以及甘油三酯（TG）的均值分别为4．84 vs 4．94，1．28 vs 1．47，2．87 vs 3．18及1．52 vs 1．38 mmol/L。汉畲样本中处于TC正常高值（5．18～6．21 mmol/L ）及高 TC （≥6．22 mmol/L ）的比率分别为24．7％ vs 26．6％和9．6％ vs 10．1％；HDL-C＜1．04 mmol/L在汉畲样本中分别为25．7％ vs 5．2％；LDL-C（3．37～4．13；4．14～4．91；≥4．92 mmol/L）3个分组中，汉畲样本的比例各是18．0％ vs 25．0％，6．6％ vs 9．1％和2．4％ vs 3．5％；汉畲样本在TG正常高值（1．70～2．25 mmol/L）和高 TG（≥2．26 mmol/L）的比例分别是13．1％ vs 10．3％和15．4％ vs 11．4％。汉畲族血脂异常的患病率分别为39．7％ vs 26．4％。汉畲族血脂异常共有的危险因素包括：年龄、BMI、2hPG、高血压，而吸烟也是汉族人群血脂异常的危险因素之一。结论汉族血脂异常患病率高于畲族，畲族人群血清TC、LDL-C的水平高于汉族人群，应及时采取相关措施进行防控。%Objective To investigate the levels of serum lipids and lipoproteins among the She ethnic population and Han population in Fujian ,China . Methods There were ethnically representative sample of 8 815 adults selected from Fujian province from Apirl 2009 to September 2009 by multistage-stratified sampling . Ultimately ,data from 8 090 subjects (16~86 years old) analysed ,including 4 831 adults of She ethnic population and 3 259 adults of Han population . Results The estimates of total cho-lesterol (TC ) , high-density lipoprotein cholesterol (HDL-C ) , and low-density lipoprotein cholesterol (LDL-C)and triglycerides (TG)in the Han people and She people were 4 .84 vs 4 .94 ,1 .28 vs 1 .47 ,2 .87 vs 3 .18, and 1 .52 vs 1 .38 mmol/L ,respectively . In addition ,among the Han population and the She eth-nic population ,24 .7% vs 26 .6% had borderline high total cholesterol (5 .18~6 .21 mmol/L ) ,and 9 .6%vs 10 .1% had high total cholesterol (≥6 .22 mmol/L) .25 .7% vs 5 .2% had low high-density lipoprotein cholesterol (<1 .04 mmol/L) ,respectively ,in the Han population and She ethnic population .The esti-mates for borderline high (3 .37~4 .13 mmol/L ) ,high (4 .14~4 .91 mmol/L ) ,and very high (≥4 .92 mmol/L) low-density lipoprotein cholesterol were 18 .0% vs 25 .0% ,6 .6% vs 9 .1% and 2 .4% vs 3 .5% , respectively .The estimates for borderline high (1 .70~2 .25 mmol/L) ,high(≥2 .26 mmol/L) triglycer-ides were 13 .1% vs 10 .3% ,and 15 .4% vs 11 .4% . The prevalence rate of dyslipidemia between the Han population and the She ethnic population is 39 .7% vs 26 .4% . Age ,BMI (Body Mass Index ) ,2hPG (2-hour postprandial plasma glucose) and hypertension are risk factors of dyslipidemia in both ethnic ,and cigarette is also a risk factor of dyslipidemia in the Han population . Conclusions The prevalence rate of of dyslipidemia in the Han population is higher than that in the She ethnic population . Serum total and low-density lipoprotein cholesterol levels in the She ethnic population were higher than that in the Han population . A comprehensive strategy toward the prevention ,treatment ,and control of dyslipidemia is needed .
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