心电图Cornell乘积和Sokolow-Lyon电压与代谢指标关系研究  

Relationship between Cornell product as well as Sokolow-Lyon voltage and metabolic indices

作　　者：冯雪芳[1,2] 钟银燕[3] 章琴莺 郑芬萍 周嘉强[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院内分泌科,浙江杭州310016 [2]慈溪市人民医院急诊内科 [3]杭州市江干区采荷街道社区卫生服务中心,浙江杭州310016

出　　处：《中国实用内科杂志》2018年第1期60-64,共5页Chinese Journal of Practical Internal Medicine

基　　金：国家科技支撑计划(2009BAI80B02);浙江省重点科技创新团队计划(2010R50050)

摘　　要：目的探讨Cornell乘积和Sokolow-Lyon电压与代谢指标的关系。方法 2009年9月至2011年11月采用整群抽样方法抽取杭州市采荷街道社区1112名年龄在40~65岁人群,进行人口学资料调查、体格检查、生化检查、口服葡萄糖耐量试验或馒头餐试验,以及心电图检查和体脂测定。总结Cornell乘积和Sokolow-Lyon电压与代谢指标分布规律。结果 Cornell乘积和Sokolow-Lyon电压与血压密切相关,但二者所反映的人群特征和疾病的危险因素具有差异性。Cornell乘积数值高者表现为更肥胖、年龄更大,血糖、血脂等代谢性指标更高,胰岛素抵抗更明显,Sokolow-Lyon电压高者体型更瘦。结论 Cornell乘积与代谢性指标显著相关,其关联性强于Sokolow-Lyon电压。Objective To investigate the relationship between the Cornell product as well as Sokolow-Lyon voltage and metabolic indices. Methods A total of 1112 community residents at the age of 40-65 years were involved in this study by cluster sampling method. The data of demographic investigation, physical examination, biochemical determination and oral glucose tolerance test or standard meal test were collected. ECG examination and body fat determination were carried out. Results Both Cornell product and Sokolow-Lyon voltage were related to blood pressure closel）~ but they reflected different characteristics and risk factors. Those with higher Cornell product value were more obese, older, more likely to have worse metabolic index such as blood glucose and blood lipids, and had more obvious insulin resistance. Those with higher Sokolow-Lyon voltage value were thinner. Conclution Cornell product has a significant correlation with metabolic indices, and the correlation is stronger than that of Sokolow-Lyon voltage.

关 键 词：Cornell乘积 Sokolow—Lyon电压 心电图 代谢指标 胰岛素抵抗 

分 类 号：R589.9[医药卫生—内分泌]