贵阳市女性臂踝脉搏波传导速度的流行病学调查Survey on the Epidemiological Feature of Brachial-Ankle Pulse Wave Velocity in Women in Guiyang
陆艳;彭年春;时立新;张巧;张淼;张松;
LU Yan;PENG Nianchun;SHI Lixin;ZHANG Qiao;ZHANG Miao;ZHANG Song;Department of Endocrinology and Metabolism,the Affiliated Hospital of Guizhou Medical University;
摘要(Abstract):
目的:了解贵阳市40岁及以上女性臂踝脉搏波传导速度(ba PWV)的水平及影响因素。方法:对贵阳市云岩区40岁及以上女性共3 166人进行问卷调查,记录年龄、月经等一般资料;取空腹静脉血检测空腹血糖、餐后血糖并测定ba PWV相关危险因素。结果:贵阳市40岁及以上女性ba PWV增加的比例为61.10%,并随着年龄的增大而增加(P<0.05);Logistic回归分析显示,餐后血糖、空腹血糖及血压升高、增龄、绝经等是ba PWV升高的影响因素。结论:女性ba PWV的分布特点符合人群中动脉硬化的分布特点,且其影响因素与传统的动脉硬化影响因素基本一致。作为无创性检查指标之一,ba PWV可以客观地反映动脉硬化的程度,从而为健康干预提供依据。
Objective: To investigate the levels of brachial ankle pulse wave velocity and its epidemic characteristics among women aged 40 years old and above in Guiyang. Methods: A total of 3166 subjects from Yunyan district,Guiyang city,participated in the study by questionnaire,physical examination and ba PWV. Results: The ratio of elevated ba PWV in women aged 40 years old and above was61. 10% and gradually increased as the aggravating age( P < 0. 05). Logistic regression analysis demonstrated that postprandial blood glucose,fasting glucose,high blood pressure,elder age and menopause were important influential factors for elevated ba PWV. Conclusion: The distribution characteristics of ba PWV in women is in accordance with that of arteriosclerosis in adult population,and its influencing factors basically conform with traditional factors related to arteriosclerosis. As one of non-invasive physical examination indicators,ba PWV can objectively reflect the degree of arteriosclerosis,thus providing proof for health intervention.
关键词(KeyWords):
妇女;臂踝脉搏波传导速度;流行病学
women;brachial ankle pulse wave velocity;epidemiology
基金项目(Foundation): 中华医学会临床医学科研专项资金项目(12020130273)
作者(Author):
陆艳;彭年春;时立新;张巧;张淼;张松;
LU Yan;PENG Nianchun;SHI Lixin;ZHANG Qiao;ZHANG Miao;ZHANG Song;Department of Endocrinology and Metabolism,the Affiliated Hospital of Guizhou Medical University;
Email:
DOI: 10.19367/j.cnki.1000-2707.2015.12.011
参考文献(References):
- [1]许晓琼,杨德辉,朱新林,等.冠心病合并代谢综合征患者炎症因子水平与冠状动脉病变程度关系的研究[J].华北国防医药,20102(3):213-215.
- [2]胡大一,向小平.动脉粥样硬化早期检测的临床应用—大动脉僵硬度(弹性)和功能检查[J].中国心血管病研究,2007(5):81-82.
- [3]中国医师协会心血管内科医师分会.心血管疾病一级预防中国专家共识[S].北京.中华内科杂志,2010(2):174-185.
- [4]Najjar SS,Seuteri A,Lakatta EG,et al.Pulse wave velocity is an independent predictor of the longitudinal increase in systolic blood pressure and of incident hypertension in the Baltimore longitudinal Study of Aging[J].Am Coil Cardiol,2008(51):1377-83.
- [5]Lieb W,IJarson MG,Mitchell GF,et al.Multimarker approach to evaluate correlates of vascular stiffness:the Framingham Heart Study[J].Cireulation,2009(119):37-43.
- [6]祁慧萌,白小涓2,周红瑜,等.血管弹性随年龄进行性减低310例的自身对照分析[J].中华老年多器官疾病杂志,2013(9):701-704.
- [7]Asmar R,Benetos A,London G,et al.Aortic distensibility in normotensive,untreated and treated hypertensive patients[J].Blood Press,1995(1):48-54.
- [8]王显,赵建功,胡大一.中国脉搏波传导速度评价动脉硬化的参数及流行病学研究[J].中国康复理论与实践,2008(4):305-308.
- [9]周红瑜,白小涓,吴兵,等.增龄是影响健康人臂踝脉搏波速度的主要因素[J].中国老年学杂志,2009(24):3172-3176.
- [10]曹霞,陈志恒,朱小玲,等.围绝经期女性颈动脉内膜中层厚度、斑块与臂踝脉搏波传导速度的关系[J].中国老年学杂志,2010(30):3152-3153.
- [11]樊广渊,郑延松,陈志来,等.20 748例健康体检对象肱踝脉搏波传导速度的分析[J].中国动脉硬化杂志,2014(8):803-807.
文章评论(Comment):
|
||||||||||||||||||
|
- 陆艳
- 彭年春
- 时立新
- 张巧
- 张淼
- 张松
LU Yan- PENG Nianchun
- SHI Lixin
- ZHANG Qiao
- ZHANG Miao
- ZHANG Song
- Department of Endocrinology and Metabolism
- the Affiliated Hospital of Guizhou Medical University
- 陆艳
- 彭年春
- 时立新
- 张巧
- 张淼
- 张松
LU Yan- PENG Nianchun
- SHI Lixin
- ZHANG Qiao
- ZHANG Miao
- ZHANG Song
- Department of Endocrinology and Metabolism
- the Affiliated Hospital of Guizhou Medical University