双臂间收缩压差值与踝臂指数的相关性分析  

The correlation analysis of inter-arm difference in systolic blood pressure andankle-brachial index

作　　者：李璐 王剑利[2] 王丹 赵秀娟 王娜[4] 吴寿岭[1] 陈朔华[1] LI Lu;WANG Jian-li;WANG Dan;ZHAO Xiu-juan;WANG Na;WU Shou-ling;CHEN Shuo-hua(Department of Cardiology,Kailuan General Hospital,Tangshan 063000,China;Department of Rehabilitation,Kailuan General Hospital,Tangshan 063000,China;Department of Neurology,Kailuan General Hospital,Tangshan 063000,China;Department of Cardiology,Qinhuangdao Second Hospital)

机构地区：[1]开滦总医院心内科,063000 [2]开滦总医院康复科,063000 [3]开滦总医院神经内科,063000 [4]秦皇岛市第二医院心内科

出　　处：《天津医药》2021年第4期401-405,共5页Tianjin Medical Journal

基　　金：河北省2020年度医学科学研究课题计划(20201292)。

摘　　要：目的探讨双臂间收缩压差值(sIAD)与踝臂指数(ABI)的关系。方法采用横断面研究方法,选取参加2010—2018年度开滦集团健康体检并完成动脉硬化测量者为观察对象。采用调查问卷的方法收集流行病学资料,并于体检当日检测观察对象总胆固醇、三酰甘油、空腹血糖、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇。采用欧姆龙动脉硬化检测装置收集双臂收缩压以及ABI。多因素线性回归分析sIAD与ABI在总人群、不同性别和不同年龄中人群的关系。结果最终纳入统计分析者48976例。在总人群中、不同性别人群中(男性组、女性组)、不同年龄人群中(<60岁组,≥60岁组),校正年龄、性别、基础收缩压、体质量指数(BMI)、空腹血糖、三酰甘油、总胆固醇、吸烟、饮酒、体育锻炼后,sIAD与ABI均呈负向关联(P<0.05)。总人群中sIAD每增加1 mmHg,ABI下降0.006;不同性别人群中(男性、女性)sIAD每增加1 mmHg,ABI分别下降0.006、0.005;不同年龄人群中(<60岁组,≥60岁组)sIAD每增加1 mmHg,ABI分别下降0.006、0.005。结论sIAD与ABI呈负向关联,sIAD增加是ABI下降的危险因素。Objective To investigate the relationship between systolic pressure difference between arms(sIAD)and ankle-brachial index(ABI).Methods A cross-sectional study was conducted to select the subjects who participated in the 2010 and 2018 annual physical examination of Kailuan Group and completed the measurement of arteriosclerosis.Epidemiological data were collected by questionnaire,and total cholesterol,triglyceride,fasting blood glucose,high density lipoprotein cholesterol and low density lipoprotein cholesterol were detected on the day of physical examination.Both arm systolic blood pressure values and ankle-brachial index(ABI)were collected using the Omron arteriosclerosis detector.Multiple linear regression analysis was used to analyze the relationship between the sIAD and ABI in the total population,different gender and different age groups.Results A total of 48976 patients were included in the statistical analysis.In the general population,different gender groups(male group and female group),people of different ages(<60 years old group and≥60 years old group),and adjustment for age,gender,systolic blood pressure,body mass index(BMI),fasting glucose,three acyl glycerin,total cholesterol,smoking,drinking,exercise,sIAD and ABI values were negatively correlated(P<0.05).It was found that ABI decreased by 0.006 for every 1 mmHg increase in sIAD in the total population.ABI decreased by 0.006 and 0.005 for every 1 mmHg increase in sIAD in different gender groups(male and female).ABI decreased by 0.006 and 0.005(<60 years old group and≥60 years old group)for every 1 mmHg increase in sIAD in different age groups.Conclusion sIAD is negatively associated with ABI,and the increased sIAD is a risk factor for ABI decline.

关 键 词：血压 体格检查 双臂间收缩压差值 踝臂指数 

分 类 号：R544[医药卫生—心血管疾病]