2015年北京某高校职工颈动脉粥样硬化斑块的发病情况及相关因素分析  

Analysis of the incidence and influence factor of carotid atherosclerotic plaques in university staffs of Beijing in 2015

作　　者：李田静[1] 勇强[2] 马少刚[1] 王建祯[3] 

机构地区：[1]中国传媒大学门诊部超声医学科,北京100026 [2]北京安贞医院超声诊断科,北京100029 [3]武警总医院神经外科,北京100039

出　　处：《中国医药导报》2016年第15期189-192,共4页China Medical Herald

摘　　要：目的超声评估中国传媒大学（以下简称＂我校＂）在职及离退休职工的颈动脉粥样硬化及斑块的发病情况及其相关危险因素。方法应用彩色多普勒超声对1630例在2015年3~10月参与我校门诊部组织安排单位健康体检的离退休及在职人员行双侧颈动脉检查,按照有无斑块进行分组,分析颈动脉粥样硬化斑块与年龄、性别、血压、血糖、脂肪肝、总胆固醇、三酰甘油、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、血尿酸、尿蛋白及吸烟、饮酒的关系。结果 1630例参与体检人员中,男性检出率明显高于女性（P〈0.05）。斑块组受检者平均年龄、体重指数、血脂、尿酸水平较无斑块组高（P〈0.05）,高血压、糖尿病及尿蛋白的检出率较无斑块组高（P〈0.05）。多因素Logistic回归分析显示,年龄、性别、高血压、糖尿病、低密度脂蛋白胆固醇是颈动脉硬化的独立危险因素（P〈0.05）。结论参与本次健康体检的高校职工颈动脉粥样硬化斑块有较高的检出率,其检出率与年龄、性别、高血压、糖尿病、低密度脂蛋白胆固醇有关。Objective To evaluate the incidence and risk factors of carotid atherosclerotic plaques in staff of Communication University of China（＂our university＂ for short） with ultrasonography. Methods The 1630 retired and on-thejob staffs of our university taken health physical examination in Outpatient Department of our university were selected from March to October 2015. They all taken carotid artery ultrasonography examination, then were divided into two groups according to the presence of plaques. The relationship between carotid plaque and risk factors, such as age,gender, blood pressure, fasting blood-glucose, total cholesterol, triglyceridem, high density lipoprotein cholesterol, low density lipoprotein cholesterol, blood uric acid, urine protein, smoking, drinking were analyzed. Results Among the1630 cases, the detection rate in males was higher than that in females（P 0.05）. The average age, body mass index,blood lipid indexes and blood uric acid levels in the plaque group were higher than those in the non-plaque group（P 0.05）, and the detection rates of hypertension, diabetes and urine protein in the plaque group were all higher than those in the non-plaque group（P 0.05）. Logistic regression analysis showed that age, gender, hypertension, diabetes, low density lipoprotein cholesterol were independent risk factors of carotid atherosclerotic plaques（P 0.05）. Conclusion Detection rate of carotid atherosclerotic plaques is high in staffs of our university, the rate of detection is related to age,gender, hypertension, diabetes, low density lipoprotein cholesterol.

关 键 词：颈动脉 超声检查 粥样硬化斑块 危险因素 

分 类 号：R543.4[医药卫生—心血管疾病]