1008例有心血管病危险因素患者踝臂指数异常的发生率及其相关因素  

Prevalence of Abnormal ABI in 1008 Cases of Patients with Cardiovascular Risk Factors

作　　者：王昆[1] 胡大一[2] 杨进刚[2] 李田昌[2] 逯春鹏[2] 韩雅蕾[2] 

机构地区：[1]清华大学玉泉医院 [2]首都医科大学附属北京同仁医院心血管疾病诊疗中心

出　　处：《首都医科大学学报》2006年第4期509-511,共3页Journal of Capital Medical University

摘　　要：目的观察有心血管病危险因素人群中踝臂指数（ABI）异常的发生率及ABI水平与其他心血管病危险因素之间的关系。方法选2004年9月至12月有心血管病危险因素的住院患者，测定ABI；分析患者ABI异常的发生率及相关的危险因素。结果共1008例患者，男性559例，女性449例，年龄31～99岁。ABI异常的发生率男性为31．3％（175／559），女性为31．4％（141／449）。男性ABI异常的独立相关危险因素是年龄、糖尿病病史、高胆固醇血症；女性ABI异常的独立相关危险因素是年龄、糖尿病病史、吸烟史。结论有心血管病危险因素的人群中ABI异常的发生率高，临床医师应给予足够的重视。Objective The purpose of the study was to investigate the prevalence of abnormal ABI in patients with cardiovascular risk factors and the relationship between abnormal ABI and the various cardiovascular risk factors. Methods This study was performed through cross-sectional survey. Patients with cardiovascular risk factors were enrolled from September 2004 to December 2004 consecutively. ABI was measured and data were analyzed to investigate the prevalence of abnormal ABI both in men and women, and to identify the risk factors. Results 1 008 patients were enrolled （559 men and 449 women ranging from 31 to 99 years old）. The prevalence of abnormal ABI was 31.3% in men and 31.4% in women. Abnormal ABI was positively correlated with age, diabetes mellitus and hypercholesterolemia in men, and was positively correlated with age, diabetes mellitus and smoking in women. Conclusion The prevalence of abnormal ABI in patients with cardiovascular risk factors is high. It is necessary for clinicians to pay more attention to these patients.

关 键 词：踝臂指数 心血管疾病 危险因素 

分 类 号：R541[医药卫生—心血管疾病]