摘要
目的了解类风湿关节炎患者血脂异常情况及日常生活作息行为,为有针对性开展健康教育,预防由于生活因素引起的血脂异常提供参考依据。方法选取住院治疗的类风湿关节炎(RA)患者53人,对其进行问卷调查、体格检查及血清总胆固醇(TC)、甘油三酯(TG)、高密度(HDL-C)和低密度脂蛋白胆固醇(LDL-C)检测。结果 RA患者超重比例为37.7%。不能每天吃早餐和睡眠质量差分别为15.1%和37.7%。住院前坚持每天户外活动者为50.9%。有近40%和72%的RA患者能经常摄入新鲜蔬菜和水果,经常摄入奶及其制品的比例为58.5%,但每周摄入1次及以上鱼或海产品的比例较少,为34%。53名RA患者以血清HDL-C异常者检出率最高,为32.1%。年龄大于50岁、中度以上疾病活动度及超重都可明显升高血清TG、TC和LDL-C水平;使用激素能降低RA血清HDL-C水平。结论 RA患者日常生活作息行为尤其饮食习惯存在许多问题,血脂异常检出率较高,指导RA患者科学合理的饮食及日常作息行为,保持适宜体重对预防和降低血脂异常有益。
Objective To understand the prevalence of dyslipidemia and lifestyle behavior in patients with rheumatoid arthritis （RA）,so as to provide reference for health education in preventing dyslipidermia induced by lifestyle factors.Methods Fifty-three patients with RA in Shengjing Hcspital of China Medical University were subject to questionnaire survey,physical examination and detection of blood lipids.Results Among the 53 patients with RA,37.7％ were over-weighted.15.1％ did not have breakfast daily and 37.7％ had a low quality of sleep.50.9％ engaged in regular exercise before hospitalization.Nearly 40％ and 72％ of them regularly ate fresh vegetables and fruits.58.5％ often drank milk and milk products,but only 34 ％ ate fish and marine products weekly or more than once a week.The occurrence of abnormal HDL-C （32.1％） was the highest.Serum TG,TC and LDL-C were significantly increased in cases with age older than 50 years,with disease activity above middle grade and with overweight.Treatment by hormone could reduce serum HDL-C levels in RA patients.Conclusions Many problems are found in lifestyle behavior among RA patients,especially in dietary habits.The prevalence of dyslipidemia is high.To have scientific dietary habits and to keep healthy lifestyle as well as a suitable body weight are beneficial to preventing and decreasing dyslipidemia in RA patients.
出处
《实用预防医学》
CAS
2013年第12期1425-1428,共4页
Practical Preventive Medicine
基金
辽宁省科学计划项目(2011225015)
沈阳市科学计划项目(F12-277-1-85)
