对541例受检者心踝指数测量值影响因素的观察  

Observation to the clinical and other correlation factors which can effect people＇s Cardio Ankle Vascular Index（CAVI）

作　　者：李方洁[1] 袁晓春[1] 郭小玉[1] 乔益玲[1] 于骋[1] 王静[1] 

机构地区：[1]中国中医科学院望京医院,北京100102

出　　处：《中国民康医学》2009年第9期960-962,共3页Medical Journal of Chinese People’s Health

摘　　要：目的：探讨影响人群心踝指数（CAVI）的临床相关因素,探索正确应用这项检查的方法。方法：以望京医院周边社区居民、学生、门诊及住院患者中的541例自愿受检者为观察对象。收集病史,使用VaSeraTM VS-1000动脉硬化检测仪测量心踝指数（Card io AnkleVascu lar Index;CAVI）,采用t检验、偏相关分析等统计学方法进行数据处理,观察年龄、性别、疾病、血压对CAVI测量值的影响。结果：541例受检者中男167例,女374例,年龄最小21岁,最大86岁,平均（56.16±12.42）岁,其中正常人组285例,疾病组256例,检测结果呈阳性150例,总阳性率为27.73%。在285例正常人中,男性74例,女性211例,在控制年龄因素后,性别与CAVI无相关性,在控制性别因素后,年龄与CAVI测量值呈较强的正相关。各疾病组CAVI测量值均高于正常人组,但二者之间无显著差异。控制年龄、性别、疾病因素后,外周血管的收缩压与舒张压均与CAVI测量值呈弱的正相关。结论：年龄是影响CAVI测量值的最重要因素,随年龄增大CAVI值增高,不同年龄应有不同的CAVI参考值范围。Objective：To study the clinical and other correlation factors which can effect people＇s Cardio Ankle Vascular Index（CAVI） and search for the right method applying the inspection.Methods：The observed objects are 541 volunteers,including community inhabitant and students around the Wangjing hospital,and the outpatients and inpatients.We collect the subjects＇ case history and use the detectors of VaSeraTM VS-1000 angiosclerosis to measure CAVI,then deal with the data using statistical methods such as T test,partial correlation analysis and so on,to observe the effect of age,gender,disease and blood pressure on the CAVI measure value.Results： There are 167 cases male subjects and 374 cases female subjects.The youngest is 21 years old,the oldest is 86-year-old,with an average age of 56.16±12.42.There are 285 cases of normal group,256 cases of the disease group,and positive test results of 150 cases,and the total positive rate of 27.73 percent.There are 74 male cases,211 female cases in 285 normal cases.By partial correlation statistics,the data show that gender and CAVI have no correlation when the effect of age factor controlled,however the age and CAVI value have strong positive correlation when the gender factor controlled.The CAVI value are higher in each disease group than in normal group,but no statistically significant difference.Corrected age,gender,disease factors,peripheral vascular systolic blood pressure and diastolic blood pressure both show weak positive correlation with the value of CAVI.Conclusions： Age is the most important factor affecting measure value of CAVI,the CAVI value would increase with age.And different age groups should have different reference ranges of CAVI value.

关 键 词：CAVI 年龄 性别 疾病 血压 

分 类 号：R54[医药卫生—心血管疾病]