铁路节能环保与安全卫生

了解铁路职工血脂异常现状，分析血脂异常的影响因素，为制定血脂异常防控策略提供科学依据。选择6 154名健康体检职工作为研究对象，进行问卷调查、体格检查和实验室检测，采用χ²检验和多因素Logistic回归分析。结果表明，该地区铁路职工血脂异常检出率为49.5%，其中男性(53.5%)高于女性(17.0%)；高总胆固醇血症、高甘油三酯血症、高低密度脂蛋白血症和低高密度血症检出率分别为16.9%、27.5%、26.8%和2.6%。回归分析显示：男性、年龄、BMI、吸烟、高血压、糖尿病是影响血脂异常的危险因素，运动是血脂异常的保护因素。

To understand the status quo of dyslipidemia among railway workers, analyze the influencing factors of dyslipidemia, and provide scientific basis for formulating prevention and control strategies of dyslipidemia. A total of 6154 health examination workers were selected as the study objects, and questionnaires, physical examinations and laboratory tests were carried out. The χ² test and multivariate logistic regression analysis were used. The results showed that the detection rate of dyslipidemia was 49.5%, and male(53.5%) was higher than female(17.0%). The rates of hypercholesterolemia, hypertriglyceridemia, high density lipoproteinemia and low density lipoidemia were 16.9%, 27.5%, 26.8% and 2.6%, respectively. The regression analysis showed that male, age, BMI, smoking, hypertension and diabetes were the risk factors for dyslipidemia, and exercise was the protective factor.