中老年人群踝臂指数减低的相关因素研究  

Association between Lower Ankle Brachial Index and Cardiovascular Risk Factors in Middle-Old Aged People

作　　者：杨晓敏[1] 孙刚[1] 丁燕程[1] 闫宏[1] 金刚[1] 黄冠华[1] 

机构地区：[1]内蒙古科技大学包头医学院第二附属医院心内科内蒙古高血压研究所,包头014030

出　　处：《中国分子心脏病学杂志》2010年第2期98-101,共4页Molecular Cardiology of China

基　　金：包头市社会发展科技支撑项目(2009S2003-2)

摘　　要：目的探讨40岁以上中老年人群踝臂指数(ABI)减低的发生率及与其他心血管病危险因素之间的关系。方法采用横断面研究,入选自2008年3月至2009年11月来我院门诊就诊及体检的40岁以上中老年人群,检测ABI并调查患者的一般资料及心血管病危险因素,分析患者ABI减低的发生率及相关的危险因素。结果共入选符合条件的对象1040例,男性620例,女性420例,年龄40岁～89岁,平均年龄55.65±10.39岁,男性平均56.81±11.23岁,女性平均53.93±8.64岁。ABI减低的发生率为13.3%(138/1040),其中男性为11.1%(69/620),女性为16.4%(69/420)。经logistic多变量回归分析后,ABI减低的独立相关危险因素是女性,年龄、糖尿病病史、高血压病史、甘油三酯、低密度脂蛋白胆固醇、吸烟史。结论ABI减低与心血管疾病及传统心血管病危险因素密切相关,可作为心血管病危险人群的一种无创、简单筛查手段。ObjeetiveTo investigate the prevalence of lower ankle brachial index （ABI） and association between lower ABI and traditional cardiovascular risk factors among middle-old aged people. Methods This study was performed through cross-sectional survey. 1040 middle-old aged cases were enrolled from March 2008 to November 2009 consecutively. ABI was measured and data were analyzed to investigate the prevalence of lower ABI both in men and women, and to identify the risk factors. Results 1040 cases were enrolled （620 men and 420 women ranging from 40 to 89 years old）. The total prevalence of lower ABI was 13%, men were 11% and women were 16.4 %. Lower ABI was positively correlated with age, gender, TG, LDL, diabetes mellitus, hypertension and tobacco consuming. Conclusion The ABI test is simple, accurate and reliable, and it can be considered as a routine screening criterion in people at high risk of cardiovascular disease.

关 键 词：踝臂指数 心血管疾病 危险因素 

分 类 号：R543[医药卫生—心血管疾病]