社区人群外周动脉粥样硬化及心血管病危险因素研究  

The relationship between peripheral arteries atherosclerosis and the cardiovascular risk factors in individuals of community

作　　者：张志凌[1] 朱天刚[2] 边红[3] 张龙方[4] 王雪莲[1] 赵兰[1] 刘琳[1] 

机构地区：[1]北京市第六医院功能检查科,北京市100007 [2]北京大学人民医院心内科 [3]首都医科大学附属北京同仁医院心脏中心 [4]解放军空军总医院超声科

出　　处：《中国心血管病研究》2013年第4期248-250,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的了解北京市东城区社区人群外周动脉粥样硬化（EcAS）的发生、分布规律及其与心血管危险因素的关系。方法对社区人群进行外周动脉超声检查并与心血管危险因素进行相关性分析。结果EcAS以复合性斑块最多见，发生率为46％，其次为单纯性斑块39％，单纯IMT增厚13％，三者比较差异有统计学意义（P〈0．05）。EcAS发生率由高到低依次为锁骨下动脉（sA）、颈动脉（CA）、股动脉（FA）、腹主动脉（AbAO）和髂总动脉（CIA），分别为70％、66％、53％、52％和48％，SA、CA粥样硬化发生率显著高于AbAO、CIA和FA（P〈O．05）。多变量logistic回归分析结果，外周动脉粥样硬化斑块的主要影响因素依次是吸烟、高血压、糖尿病和年龄。结论EcAS发生率由高到低依次为SA、CA、FA、AbAO和CIA，外周动脉粥样硬化斑块的主要影响因素依次是吸烟、高血压、糖尿病和年龄。Objective To investigate the regularity of atherosclerosic development and distribution in peripheral arteries and its association with cardiovascular risk factors among people of Dongcheng community in Beijing. Methods Extracoronary atherosclerosis was investigated using Doppler ultrasound in subjects of Dongcheng community in Beijing and undergone relationship analysis with traditional cardiovascular risk factors. Results The incidence of complexity atherosclerostic plaque, simple atherosclerostic plaque and IMT is 46%, 39% and 13%, respectively, there were significant difference among the three types （P〈0.05）. The prevalence of subclaviscular, carotid, femoral, abdominal aortic and common iliac artery atherosclerosis was 70%, 66%, 53%, 52% and 48% respectively. The incidence of atherosclerosis in subclaviscular and carotid artery were significantly higher than those in abdominal aortic, common iliac and femoral artery （P〈0.05）. After multiple logistic regress analysis, the major risk factors of peripheral atherosclerosis were smoking, hypertension, diabetes and age. Conclusion In descending order of incidence of peripheral atherosclerosis, these are subclaviscular, carotid, femoral, abdominal aortic and commoniliac artery. The smoking, hypertension, diabetes and age are significantly associated with peripheral atherosclerosis

关 键 词：多普勒超声显像 外周动脉 动脉粥样硬化 心血管危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]