健康中老年人不同年龄段左腕脉搏波传导时间参考值的建立  

Establishment of Reference Range of Pulse Wave Transit Time on the Left Wrist of Different Age Groups in Healthy Middle Aged and Elderly People

作　　者：王利[1] 李蓓[2] 蔡宝龙[3] 郭俊艳[1] 雷永红[4] 何史林[3] WANG Li;LI Bei;CAI Bao-long;GUO Jun-yan;Lei Yong-hong;HE Shi-lin(Department of Nursing Chinese PLA General Hospital Hainan Branch, Sanya Hainan 572013, China;Department of Medical Records Management Chinese PLA General Hospital Hainan Branch, Sanya Hainan 572013, China;Department of Information Chinese PLA General Hospital Hainan Branch, Sanya Hainan 572013, China;Department of Emergency,Chinese PLA General Hospital Hainan Branch, Sanya Hainan 572013, China)

机构地区：[1]中国人民解放军总医院海南分院护理部,海南三亚572013 [2]中国人民解放军总医院海南分院急诊科,海南三亚572013 [3]中国人民解放军总医院海南分院信息科,海南三亚572013 [4]中国人民解放军总医院海南分院病案管理科,海南三亚572013

出　　处：《中国医疗设备》2017年第8期5-7,15,共4页China Medical Devices

基　　金：海南省重大科技攻关项目(2013ZX03005012);海南省高新技术课题(ZDFY2017008;ZDKJ2016008)

摘　　要：目的初步估计健康中老年人左腕脉搏波传导时间(Pulse Wave Transit Time,PWTT)所在的参考值范围,为早期预测血管硬化提供依据。方法采用便利抽样法对我院门诊1288例健康中老年通过智能腕表采集左腕脉搏波传导时间进行统计分析。结果 35~44岁组:95%置信区间(Confidence Interval,CI)为(186,192)ms;45~59岁组:男性95%CI(180,186)ms,女性95%CI(185,190)ms;60~89岁组95%CI(177,183)ms;经3组方差分析,F=10.200,P<0.05;3组间PWTT存在显著性差异,再进行组间的两两比较均具有统计学意义(P<0.05),其中45~59岁组较35~44岁组缩短4 ms,60~89岁组较45~59岁组缩短5 ms。结论健康中老年人随着年龄的增长,动脉硬化程度逐渐加重,且年龄越大,动脉硬化的速度越快。Objective To estimate the normal range of pulse wave transit time(PWTT)about the middle aged and elderly people,and to provide the basis for the prediction of the vascular sclerosis at early stage.Methods The convenience sampling method was adopted in our hospital outpatient,and1288cases of healthy middle aged and elderly people were recruited into this research.The PWTT collected by smart watch was analyzed statistically.Results The95%confidence interval(CI)ranged from186to192ms in group35~44;The95%CI of men ranged from180to186ms,and women ranged from185to190ms in group45~59;The95%CI ranged group from177to183ms in60~89.The difference among these three groups was significant(P<0.05);group45~59was4ms shorter than that of the group35~44(P<0.05);group60~89was5ms shorter than that of the group45~59.Conclusion The degree of arteriosclerosis in middle aged and elderly people gradually increases with age,and the older the age,the faster the arteriosclerosis.

关 键 词：脉搏波传导时间 动脉硬化 健康中老年人 智能腕表 多参数监护仪 

分 类 号：R211[医药卫生—中医学]