中华航空航天医学杂志
中華航空航天醫學雜誌
중화항공항천의학잡지
CHINESE JOURNAL OF AEROSPACE MEDICINE
2010年
2期
129-133
,共5页
梁谷米%王达理%郭维琼%范卫华%崔璐璐%周燕
樑穀米%王達理%郭維瓊%範衛華%崔璐璐%週燕
량곡미%왕체리%곽유경%범위화%최로로%주연
动脉硬化%脉搏,诊断技术,心血管%早期诊断%健康状况指标
動脈硬化%脈搏,診斷技術,心血管%早期診斷%健康狀況指標
동맥경화%맥박,진단기술,심혈관%조기진단%건강상황지표
Arteriosclerosis%Pulse%Diagnostic techniques,cardiovascular%Early diagnosis%Health status indicators
目的 探讨脉搏波传导速度(pulse wave velocity,PWV)和踝臂指数(ankle brachial pressure index,ABI)在飞行人员动脉硬化早期检测中的应用价值.方法 应用动脉硬化检测仪,检测107例飞行人员的PWV和ABI,并与107例地方体检人员进行对比分析.结果 飞行人员组发现PWV异常10例(9.3%),对照组发现36例(33.6%);对照组发现1例ABI异常,而飞行人员组未见ABI异常;两组人群PWV均值随着年龄的增长而增大(F=3.314～13.819,P＜0.05),但飞行人员PWV均值显著低于同年龄组一般人群(t=2.187～4.208,P＜0.05).线性回归分析结果表明,飞行人员PWV与年龄、血压、腰围和体重指数显著相关(β=0.439～0.634,P＜0.01).结论 年龄、血压、腰围或体重指数的增加是飞行人员大动脉弹性降低的主要危险因素,PWV可以作为飞行人员血管早期病变检测与评价的功能指标.
目的 探討脈搏波傳導速度(pulse wave velocity,PWV)和踝臂指數(ankle brachial pressure index,ABI)在飛行人員動脈硬化早期檢測中的應用價值.方法 應用動脈硬化檢測儀,檢測107例飛行人員的PWV和ABI,併與107例地方體檢人員進行對比分析.結果 飛行人員組髮現PWV異常10例(9.3%),對照組髮現36例(33.6%);對照組髮現1例ABI異常,而飛行人員組未見ABI異常;兩組人群PWV均值隨著年齡的增長而增大(F=3.314～13.819,P＜0.05),但飛行人員PWV均值顯著低于同年齡組一般人群(t=2.187～4.208,P＜0.05).線性迴歸分析結果錶明,飛行人員PWV與年齡、血壓、腰圍和體重指數顯著相關(β=0.439～0.634,P＜0.01).結論 年齡、血壓、腰圍或體重指數的增加是飛行人員大動脈彈性降低的主要危險因素,PWV可以作為飛行人員血管早期病變檢測與評價的功能指標.
목적 탐토맥박파전도속도(pulse wave velocity,PWV)화과비지수(ankle brachial pressure index,ABI)재비행인원동맥경화조기검측중적응용개치.방법 응용동맥경화검측의,검측107례비행인원적PWV화ABI,병여107례지방체검인원진행대비분석.결과 비행인원조발현PWV이상10례(9.3%),대조조발현36례(33.6%);대조조발현1례ABI이상,이비행인원조미견ABI이상;량조인군PWV균치수착년령적증장이증대(F=3.314～13.819,P＜0.05),단비행인원PWV균치현저저우동년령조일반인군(t=2.187～4.208,P＜0.05).선성회귀분석결과표명,비행인원PWV여년령、혈압、요위화체중지수현저상관(β=0.439～0.634,P＜0.01).결론 년령、혈압、요위혹체중지수적증가시비행인원대동맥탄성강저적주요위험인소,PWV가이작위비행인원혈관조기병변검측여평개적공능지표.
Objective To explore the value of using pulse wave velocity (PWV) and ankle brachial pressure index (ABI) to detect the early arteriosclerosis in flying personnel. Methods PWV and ABI were detected in 107 cases of flying personnel by arteriosclerosis detector and 107 civil personnel were examined as control group. Results 10 cases (9.3%) of abnormal PWV were found in flying personnel group while 36 cases (33.6%) found in control group. Only one abnormal ABI case was in control group but in flying personnel group. The mean PWV of both groups' showed significant increase with the age growing (F= 3. 314-13. 819, P＜0. 05). The mean PWV of flying personnel group was significantly lower than that of the control group in same age segment (t= 2. 187-4. 208,P＜0.05). Linear regression analysis showed that PWV was closely related to the age, blood pressure, waist circumference (WC) and body mass index (BMI) in flying personnel group (β=0. 439-0. 634, P＜0. 05). Conclusions The increases of age, blood pressure and WC or BMI are the major risk factors of causing aorta elasticity decreased in flying personnel. It is suggested that the PWV would be an applicable functional index in early diagnosis of vascular pathological changes and in medical evaluation.
