体检人群心踝血管指数与心血管危险因素的相关性研究

唐兰; 张鹤; 王跃会; 赵庆华; 罗素新; 彭斌; 方琴

doi:10.13406/j.cnki.cyxb.001169

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体检人群心踝血管指数与心血管危险因素的相关性研究

临床研究 | 更新时间：2024-01-17

- 体检人群心踝血管指数与心血管危险因素的相关性研究
- Correlation between the cardio-ankle vascular index and cardiovascular risk factors in health examination population
- 重庆医科大学学报 2017年42卷第2期页码：236-239
- 作者机构：
  
  1. 重庆医科大学附属第一医院健康体检部
  2. 重庆医科大学公共卫生与管理学院卫生统计教研室
  3. 重庆医科大学附属第一医院护理部
  4. 重庆医科大学附属第一医院心内科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.001169
  中图分类号： R54
- 纸质出版日期：2017，
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唐兰, 张鹤, 王跃会, 等. 体检人群心踝血管指数与心血管危险因素的相关性研究[J]. 重庆医科大学学报, 2017,42(2):236-239.

Tang Lan, Zhang He, Wang Yuehui, et al. Correlation between the cardio-ankle vascular index and cardiovascular risk factors in health examination population[J]. Journal of Chongqing Medical University, 2017,42(2):236-239.
唐兰, 张鹤, 王跃会, 等. 体检人群心踝血管指数与心血管危险因素的相关性研究[J]. 重庆医科大学学报, 2017,42(2):236-239. DOI： 10.13406/j.cnki.cyxb.001169.

Tang Lan, Zhang He, Wang Yuehui, et al. Correlation between the cardio-ankle vascular index and cardiovascular risk factors in health examination population[J]. Journal of Chongqing Medical University, 2017,42(2):236-239. DOI： 10.13406/j.cnki.cyxb.001169.

摘要

目的:探讨心踝血管指数(cardio-ankle vascular index

CAVI)与心血管危险因素的相关性

为早期干预提供依据。方法:对5458例受检者进行CAVI、腰围、体质量指数、血压、尿素氮、肌酐、空腹血糖、血浆总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇的检测;根据CAVI正常与否将研究对象分为CAVI异常组(CAVI≥9.0 m/s)和CAVI正常组(CAVI<9.0 m/s)

用t检验、卡方检验比较组间临床和生化资料

运用logistic回归分析CAVI的相关影响因素。结果:CAVI异常组年龄[(65.24±10.28)岁]、男性比例(71.68%)、腰围[(84.39±7.51)cm]、空腹血糖[(6.14±1.81)mmol/L]、糖尿病比例(22.82%)、尿素氮[(5.84±1.73)mmol/L]、肌酐[(75.16±22.35)mmol/L]、高血压比例(65.66%)均高于CAVI正常组

且差异有统计学意义(P<0.05)。多元logistic回归显示年龄、性别、空腹血糖、肌酐、血压是CAVI的独立影响因素(P<0.05)。结论:本研究显示增龄、高血糖、高血压和肌酐升高与CAVI显著相关

提示加强老年人动脉硬化筛查工作

有效控制血糖、血压、肌酐有利于延缓动脉硬化进展。

Abstract

Objective:To investigate the correlation between the cardio-ankle vascular index（CAVI）and cardiovascular risk factors in health examination population and to provide the proof for early intervention. Methods:Totally 5 458 cases for health examination from January to August in 2015 were enrolled in the study and divided into abnormal group（CAVI≥9.0 m/s）and normal group（CAVI<9.0m/s）. The clinical data and biochemical data including blood pressure

CAVI

waist circumference

body mass index

total cholesterol

triglycerid

high density lipoprotein cholesterol

low density lipoprotein cholesterol

fasting blood glucose

urea nitrogen

and creatinine were collected and compared in two groups. Logistic regression analysis was conducted to predict the CAVI related factors. Results:The average age

male ratio

waist circumference

fasting blood glucose

diabetes proportion

urea nitrogen and the creatinine

and the proportion of high blood pressure were significantly higher in CAVI abnormal group. Multivariate logistic regression analysis showed that age

gender

hyperglycemia

high cholesterol

high blood pressure

waist circumference and creatinine were the independent influencing factors of CAVI（P<0.05）. Conclusion:The increasing of age

high blood sugar

high blood pressure and abnormal creatinine significantly associate with CAVI. Thus

the screening of atherosclerosis and controlling of the blood glucose

blood pressure and creatinine in the elderly can delay the progression of atherosclerosis.

关键词

心踝血管指数动脉硬化危险因素相关性

Keywords

cardio-ankle vascular indexatherosclerosisrisk factorscorrelation

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