摘要
目的探讨1000例体检人群心踝血管指数(cardio-ankle vascular index,CAVI)水平的影响因素,以期为心脑血管疾病的早期防治提供参考依据。方法选取1000例健康体检者为研究对象,根据CAVI检测结果将1000例健康体检者分为CAVI增高组(CAVI≥9.0 m/s)181例与CAVI正常组(CAVI<9.0 m/s)819例。比较2组空腹血糖、总胆固醇、甘油三酯、LDL-C、HDL-C、LDL-C/HDL-C、踝臂血管指数(ABI)等指标,采用二项Logistic回归分析CAVI水平的影响因素。结果CAVI正常组与CAVI增高组的年龄、性别、TC、空腹血糖、血压、心率、ABI比较差异有统计学意义(P<0.05)。二项Logistic回归分析结果显示,空腹血糖(OR=1.189)、血压(OR=1.027)、年龄(OR=1.141)是CAVI增高的危险因素(P<0.05)。结论空腹血糖、血压、年龄是CAVI增高的危险因素,可在临床心血管疾病监测中对相关人群进行关注。
Objective To explore the correlation between cardio-ankle vascular index(CAVI)and factors like blood pressure,blood glucose,and blood lipids,so as to provide a reference for early prevention and treatment of cardio-cerebrovascular diseases.Methods One thousand healthy subjects were selected for the study.According to the results of CAVI,1000 healthy subjects were divided into two groups:181 patients with CAVI increase group(≥9.0m/s)and 819 patients with normal CAVI group(<9.0m/s).Fasting blood glucose,total cholesterol,triglyceride,LDL-C,HDL-C,LDL-C/HDL-C,and ankle-brachial vascular index(ABI)were compared between the two groups.Binomial Logistic regression was used to analyze the influencing factors of CAVI level.Results There were significant differences in age,sex,TC,fasting blood glucose,blood pressure,heart rate,and ABI between the normal CAVI group and the increased CAVI group.Binomial Logistic regression analysis showed that fasting blood glucose,blood pressure,and age were positively correlated with CAVI(P<0.05).Conclusions Fasting blood glucose,blood pressure,and age are the risk factors of CAVI increase,which can be concerned about in clinical cardiovascular disease surveillance.
作者
钟锦平
徐建平
许胜飞
章秋芳
郑爱强
周妍
ZHONG Jinping;XU Jianping;XU Shengfei;ZHANG Qiufang;ZHENG Aiqiang;ZHOU Yan(Cardiology Department,Changxing County Hospial,Changxing 313100,China)
出处
《健康研究》
CAS
2020年第4期388-390,共3页
Health Research
基金
浙江省医学会临床科研基金项目(2016ZYC-A68)。
