维吾尔族心血管病高危人群脉搏波速度与危险因素的关系  

Application of brachial ankle pulse wave velocity in high cardiovascular risk patients of Uygur

作　　者：古丽扎尔.买买提明 文进[1] 布艾加尔.哈斯木 

机构地区：[1]新疆医科大学第一附属医院心脏中心,乌鲁木齐830000

出　　处：《北京医学》2008年第5期279-281,共3页Beijing Medical Journal

摘　　要：目的观察新疆维吾尔族心血管病高危人群臂踝脉搏波速度(baPWV)与心血管病危险因素的相关性。方法连续收集148例维吾尔族心血管病高危患者,测量baPWV、身高、体重、腰围、血压、心率,采集病史并行血液生化检查。比较高baPWV组(≥1700cm/s)与低baPWV组(﹤1700cm/s)患者具有危险因素的个数和临床心脑血管事件发生情况的差异。结果与低baPWV组相比,高baPWV组心脑血管事件发生率较高(46.8%vs73.9%,P﹤0.01),心血管危险因素数目较多[(3.8±1.0)vs(4.7±1.1),P﹤0.001]。影响baPWV的因素主要为年龄(P﹤0.001)、收缩压(P﹤0.01)和脉压(P﹤0.05)。结论在维吾尔族心血管病高危人群中,baPWV较高的患者心脑血管事件发生率高,心血管危险因素多。年龄、收缩压和脉压是影响baPWV的独立危险因素。Objective To observe the relationship between brachial ankle pulse wave velocity（baPWV） and cardiovascular risk factors as well as clinical cardiovascular events in high cardiovascular risk patients of Uygur. Methods Relevant clinical data including baPWV, height, weight, waist circumference, blood pressure, heart rate, history and blood biochemistry test were collected in 148 consecutive patients with high cardiovascular risk. The number of risk factors and cardiovascular events between patients with high baPWV（≥ 1700cm/s） and low baPWV（ 〈 1700cm/s） were compared. Results Compared with low baPWV group the cardiovascular events and the number of cardiovascular risk factors were higher in high baPWV group （46.8% versus 73.9%, P 〈 0.01 and （3.8±1.0） versus （4.7±1.1）, P 〈 0.001, respectively）. The factors influencing baPWV were age （P 〈 0.001）, systolic blood pressure （P 〈 0.01） and pulse pressure（P 〈 0.05）. Conclusions In patients with high cardiovascular risk, the cardiovascular events and the number of risk factors are more frequent in patients with higher baPWV. Age, systolic blood pressure and pulse pressure are independent risk factors of baPWV.

关 键 词：臂踝脉搏波速度(baPWV) 心血管危险因素 维吾尔族人 

分 类 号：R54[医药卫生—心血管疾病]