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題名 | Descriptive Analysis of Dyslipidemia in Patients Receiving Health Checkups-A Hospital-based Study=健檢民眾血脂肪異常情況之分析--以醫院為例 |
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作 者 | 賴世偉; 黃金財; | 書刊名 | 慈濟醫學 |
卷期 | 17:1 民94.02 |
頁次 | 頁35-38+58 |
分類號 | 415.38 |
關鍵詞 | 血脂肪異常; 證據醫學; 盛行率; 臺中市; 臺灣; Dyslipidemia; Evidence-based medicine; Prevalence; Taichung; Taiwan; |
語文 | 英文(English) |
中文摘要 | 目的:血脂肪異常是心血管疾病的危險因子,而且臺灣地區血脂肪異常的盛行率有增加的趨勢。本研究的目的是為了瞭解2000-2002年臺中市血脂肪異常的分布狀況,以作為國人證據醫學資料庫的參考。材料與方法:這是以醫院為樣本來源所做的描述性分析。於西元2000年1月至2002年12月曾經到中國醫藥大學附設醫院作自費健康檢查的民眾為樣本,總共3,340位民眾納入本次研究,並且分成三種年齡層來探討:20-39歲、40-64歲、與大於或等於65歲。血脂肪的分析包括:血清總膽固醇、三酸甘油脂、低密度膽固醇與高密度膽固醇。統計方法採用t檢定,one-way ANOVA檢定與卡方檢定。結果:男性占1,899人(56.9%)女性占1,441人(43.1%),平均年齡為49.3±12.3歲(範圍20-87歲)。20-39歲男女性高膽固醇血症的成行率分別為40.2%與21.6% (p<0.001),高三酸甘油酯血症的盛行率分別為26.3%與3.6% (p<0.001),低密度膽固醇偏高的成行率分別為40.2%與17.4 (p<0.001),高密度膽固醇偏低的成行率分別為35.9%與10.5% (p<0.001)。40-64歲男女性高膽固醇血症的盛行率分別為47.7%與50.3% (p=0.233),高三酸甘油酯血症的盛行率分別為28.8%與17.7% (p<0.001),低密度膽固醇偏高的盛行率分別為47.0%與42.7% (p=0.046),高密度膽固醇偏低的盛行率分別為37.0%與12.7% (p<0.001)。65歲以上男女性高膽固醇血症的盛行率分別為44.2%與58.5% (p=0.004),高三酸甘油酯血症的盛行率分別為25.1%與23.2% (p=0.648),低密度膽固醇偏高的盛行率分別為44.2%與49.3% (p=0.308),高密度膽固醇偏低的盛行率分別為42.7%與20.8% (p<0.001)。結論:本次研究的結果顯示最近三年臺中市血脂肪異常的盛行率是偏高的,值得衛生局當局警惕,因此加強衛教、飲食指導與鼓勵養成運動習慣等相關介入性措施來控制血脂肪是有必要的。希望本次結果對於建立臺灣地區人民的基本健康資料與日後的相關研究有所助益。 |
英文摘要 | Objective: Dyslipidemia is a risk-factor of cardiovascular disease. The prevalence f dyslipidemia has increased progressively in Taiwan. The purpose of this study was to depict the distribution of dyslipidemia in Taichung, Taiwan from 2000 through 2002, and to establish a database for the evidence-based medicine. Materials and Methods: This was a hospital-based, descriptive study. We retrospectively analyzed the patients who received periodic health checkups at the China Medical University Hospital from January 2000 through December 2002. Totally, 3,340 patients were enrolled in this study. They were divided into three age groups, 20-39 years-old, and≧65 years-old. The measurements of blood lipids including total serum cholesterol, triglyceride, low density lipoprotein cholesterol (LDL), and high density lipoprotein cholesterol (HDL) were evaluated. The t test, one-way ANOVA test, and chi-square test were used to analyze the data. Results: There were 1,899 men (56.9%) and 1,441 women (43.1) included in this study. The mean age was 49.3±12.3 years (range, 20-87 years). In the group aged 20 to 39 years, the prevalence of hypercholesterolemia was 40.2% in men and 21.6% in women (p<0.001). The Prevalence of hypertriglyceridemia was 26.3% in men and 3.6% in women (p<0.001). The prevalence of high levels of LDL was 40.2% in men and 17.4% in women (p<0.001). The prevalence of low levels of HDL was 35.9% in men and 10.5% in women (p<0.001). In the group aged 40 to 64 years, the prevalence of hypercholesterolemia was 47.7%in men and 50.3% in women (p=0.233). The prevalence of hypertriglyceridmia was 28.8% in men and 14.75 in women (p<0.001). The prevalence of high levels of LDL was 47.0% in men and 42.7% in women (p=0.046). The prevalence of low levels of HDL was 37.0% in men and 12.7% in women (p<0.001). In the group aged 65 years and over, the prevalence of hypercholesterolemia was 44.2% in men and 58.5% in women (p=0.004). The prevalence of hypertriglyceridemia was 25.1% in men and 23.2% in women (p=0.648). The prevalence of high levels of LDL was 44.2% in men and 49.3% in women (p=0.308). The prevalence of low levels of HDL was 42.7% in men and 20.8% in women (p<0.001). Conclusion: The prevalence of dyslipidemia was relatively high among the adults in Taichung from 2000 through 2002. The policies and programs to prevent dyslipidemia must be substantially intensified. We hope this study could provide background information for further studies on the evidence-based medicine of dyslipidemia in Taiwan. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。