肥胖患儿体格测量指标与心脏结构、功能的相关性研究  

Correlation between Physical Measurements and Cardiac Structure and Function in Obese Children

作　　者：但扬华 刘洋[2] Dan Yanghua;Liu Yang(Jiujiang Maternal and Child Health Hospital,Jiujiang Jiangxi 332000,China;The Second Affiliated Hospital of Nanchang University,Nanchang Jiangxi 330000,China)

机构地区：[1]九江市妇幼保健院,江西九江332000 [2]南昌大学第二附属医院,江西南昌330000

出　　处：《医疗装备》2024年第16期1-7,共7页Medical Equipment

基　　金：江西省卫生健康委项目(202211895)。

摘　　要：目的探讨肥胖患儿体格测量指标与心脏结构、功能的相关性。方法选择2023年1—12月九江市妇幼保健院儿童内分泌科收治的肥胖儿童76名,其中轻度肥胖组23名、中度肥胖组36名、重度肥胖组17名,选择同期于保健科体检的健康儿童50名为对照组。比较四组儿童的一般资料、体格测量指标、心脏彩色多普勒超声参数及体格测量指标与心脏彩色多普勒超声参数的相关性,以及不同测量指标对心脏结构和功能的影响。结果三组肥胖儿童发病时间、血压、心电图、空腹胰岛素、总胆固醇(TC)、三酰甘油(TG)、尿酸(UA)、低密度脂蛋白胆固醇(LDL-c)高于对照组(P<0.05),高密度脂蛋白胆固醇(HDL-c)低于对照组(P<0.05);四组儿童的身高、上部量、下部量、上下部量比较,差异无统计学意义(P>0.05);肥胖组儿童体质量指数(BMI)、体质量、胸围、腹围(AC)、腰围(WC)、臀围、腰臀比(WHR)、腰围身高比(WHtR)高于对照组(P<0.05),中度肥胖组和重度肥胖组高于轻度肥胖组(P<0.05),重度肥胖组高于中度肥胖组(P<0.05);三组肥胖儿童收缩末期容积(ESV)、左室舒张末期容积(EDV)、左室后壁舒张期厚度(LVPWd)、左室后壁收缩期厚度(LVPWs)、室间隔舒张期厚度(IVSd)、左心室质量指数(LVM)、每搏输出量(SV)高于对照组(P<0.05);三组肥胖儿童BMI、体质量、胸围、WC、AC、臀围、WHR、WHtR高于对照组(P<0.05);BMI与SV呈正相关(r=0.564,P<0.001)。结论儿童肥胖程度越高,心脏结构、功能变化越显著,心脏病变风险越高。Objective To explore the relationship between changes in cardiac structure and function and the degree of obesity in obese children.Methods Seventy-six obese children admitted to the Department of Child Endocrinology of Jiujiang Maternal and Child Health Hospital from January to December 2023 were selected,of which 23 were in the mildly obese group,36 were in the moderately obese group,17 were in the severely obese group,and 50 healthy children who underwent physical examination in the health care department during the same period were selected as the control group.The correlation between basic information,physical measurements,cardiac ultrasound parameters and physical measurements and cardiac ultrasound parameters of the children in the 4 groups were compared,as well as the predictive value of different measurements for cardiac structure and function.Results The onset time,blood pressure,electrocardiogram,fasting insulin,total cholesterol(TC),triacylglycerol(TG),uric acid(UA),and low-density lipoprotein(HDL-c)were higher than those of the control group in the three groups of obese children(P<0.05),and HDL-c was lower than that of the control group(P<0.05);the comparison of the heights,upper volumes,lower volumes,and upper and lower volumes among the four groups of children did not have statistically significant differences(P>0.05);BMI,body mass,chest circumference,AC,WC,hip circumference,hip ratio(WHR)and waist to height ratio(WHtR)of children in the obese group were higher than those in the control group(P<0.05),and those in the moderately obese group and the severely obese group were higher than those in the mildly obese group(P<0.05),and those in the severely obese group were higher than those in the moderately obese group(P<0.05);the end-systolic volume(ESV),left ventricular end-diastolic volume(EDV),left ventricular posterior wall diastolic thickness(LVPWd),left ventricular posterior wall systolic thickness(LVPWs),interventricular septal diastolic thickness(IVSd),left ventricular mass index(LVM),and stroke

关 键 词：肥胖儿童 体格测量指标 超声心动图 心电图 

分 类 号：R587[医药卫生—内分泌]