踝臂指数与心脑血管疾病及其相关影响因素的关系  

Analysis of the influence factors and correlativity between ankle-brachial index and cardio cerebrovascular diseases and related factors

作　　者：吴俊颖 徐琳[2] 梁卫根[1] 苏澎 谢玉茹 WU Jun-ying;XU Lin;LIANG Wei-gen(Medical Department, General Hospital of Guangzhou Military Command of PLA, Guangzhou , Guangdong 510010, China)

机构地区：[1]中国人民解放军广州总医院医务部,广东广州510010 [2]中国人民解放军广州总医院心血管内科

出　　处：《中华全科医学》2018年第8期1325-1328,共4页Chinese Journal of General Practice

基　　金：广东省重大科技专项基金项目(2013A022100036)

摘　　要：目的调查社区体检人群高血压、脑卒中、冠心病及糖尿病的患病情况,分析踝臂指数(ankle-brachial index,ABI)与心脑血管病及其相关影响因素的关系,为社区人群动脉硬化性疾病的防治提供理论依据。方法选择2016年3—5月在广州市荔湾区站前路社区卫生服务中心进行健康体检的456例社区居民作为研究对象,调查收集年龄、性别、身高、体重、SBP、DBP、心率、血生化指标,并根据公式计算体质量指数(BMI)及脉压(PP);同时收集高血压、脑卒中、冠心病、糖尿病的患病情况;对所有研究对象行ABI检测,根据ABI值分为正常组(>0.9)和异常组(≤0.9)。结果 ABI正常组与异常组间年龄、SBP、PP、肌酐的差异有统计学意义(P<0.05);ABI正常组高血压、脑卒中、冠心病、糖尿病的患病率分别为52.50%、31.42%、31.79%、24.64%,ABI异常组高血压、脑卒中、冠心病、糖尿病的患病率分别为63.64%、64.20%、72.16%、39.20%,2组间比较差异有统计学意义(P<0.05);多因素Logistic回归分析显示年龄、PP、冠心病是ABI异常的独立危险因素(P<0.05),冠心病与ABI异常呈显著相关性(β=1.666,P<0.001)。结论在社区居民中进行ABI检测发现年龄、PP、冠心病是引起ABI降低的独立危险因素,且冠心病与ABI异常呈强烈正相关,应加大社区体检人群冠心病的筛查工作,并积极控制血压,有助于预防和延缓动脉血管病变的发生发展。Objective To investigate the prevalence of hypertension, stroke, coronary heart disease and diabetes in the community health physical examination population and to analyze the relationship between ankle-brachial index and cardi- ovascular and cerebrovascular diseases and related influencing factors, so as to provide theoretical basis for prevention and treatment of atherosclerotic diseases in community population. Methods A total of 456 community residents who re- ceived physical examination in community health service center from March to May 2016 were selected as the research ob- jects. The age, gender, height, weight, SBP, DBP, heart rate, blood biochemical indexes, and the body mass index （BMI） and pulse pressure （PP） are calculated by the formula. The prevalence of hypertension, stroke, coronary heart disease and diabetes were collected and investigated at the same time; All subjects underwent ABI testing and divided into normal group （ 〉 0.9） and abnormal group （P〈0.9） according to ABI value. Results Comparative ABI normal and abnormal group, age, SBP, PP, creatinine were statistically significant （ P 〈 0.05 ） ; The prevalence rates of hyperten- sion, stroke, coronary heart disease and diabetes in the normal ABI group were 52.50%, 31.43%, 31.79%, 24.64%, and the prevalence rates of hypertension, stroke, coronary heart disease and diabetes in ABI abnormal group were 63.64%, 64.20%, 72.16% and 39.20%. The difference between the two groups was statistically significant （ P 〈 0.05）. Multivariate Logistic regression analysis showed that age, PP and coronary heart disease were independent risk factors for ABI abnormalities （P 〈 0.05 ）, and the coronary heart disease with abnormal ABI was significantly correlated （ β = 1. 666, P 〈 0.001 ）. Conclusion ABI detection in community residents found that age, PP, coronary heart disease are the independent risk factors for ABI decreased. Coronary heart disease is strongly positive correlated with ABI decreased, we should increa

关 键 词：踝臂指数 心脑血管病 影响因素 相关性 

分 类 号：R54[医药卫生—心血管疾病] R743[医药卫生—内科学]