中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2010年
2期
93-95
,共3页
刘俭%田京发%王晓敏%苏琴
劉儉%田京髮%王曉敏%囌琴
류검%전경발%왕효민%소금
动脉硬化%颈动脉%危险因素
動脈硬化%頸動脈%危險因素
동맥경화%경동맥%위험인소
Atherosclerosis%Carotid arteries%Risk factors
目的 探讨女性亚临床期颈动脉粥样硬化与心血管危险因素的关系,指导健康体检实践.方法 收集女性体检人群835例,均行颈动脉超声检查,以颈动脉中内膜增厚和粥样斑块形成作为亚临床期颈动脉粥样硬化评价指标并分为颈动脉中内膜增厚组、粥样斑块形成组、中内膜增厚或粥样斑块形成组,比较心血管危险因素:年龄、血压、血糖、体重指数、腰围、血总胆固醇、三酰甘油、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)对亚临床期颈动脉粥样硬化的影响.结果 心血管危险因素均对亚临床期颈动脉粥样硬化产生影响,且随着危险水平的上升,颈动脉粥样硬化检出率持续上升:随着危险因素聚集个数的增加,颈动脉粥样硬化检出率明显增加.增龄、高血压、血脂异常、超重及糖尿病为亚临床期颈动脉粥样硬化的主要危险因素:Logistic多元回归分析显示:高龄、高血压和高LDL-C、低HDL-C是亚临床期颈动脉粥样硬化的独立影响因素(χ~2值分别为114.35、16.66、12.23、8.40,P<0.05),其中增龄对亚临床期颈动脉粥样硬化影响最强.结论 女性亚临床期颈动脉粥样硬化的主要危险因素与导致心血管病的主要危险因素基本一致:亚临床期颈动脉粥样硬化的检测适用于45岁以上体检人群的筛查:亚临床期颈动脉粥样硬化的患病危险为多因素、多层次,早期干预应多方位、多元化.
目的 探討女性亞臨床期頸動脈粥樣硬化與心血管危險因素的關繫,指導健康體檢實踐.方法 收集女性體檢人群835例,均行頸動脈超聲檢查,以頸動脈中內膜增厚和粥樣斑塊形成作為亞臨床期頸動脈粥樣硬化評價指標併分為頸動脈中內膜增厚組、粥樣斑塊形成組、中內膜增厚或粥樣斑塊形成組,比較心血管危險因素:年齡、血壓、血糖、體重指數、腰圍、血總膽固醇、三酰甘油、低密度脂蛋白膽固醇(LDL-C)和高密度脂蛋白膽固醇(HDL-C)對亞臨床期頸動脈粥樣硬化的影響.結果 心血管危險因素均對亞臨床期頸動脈粥樣硬化產生影響,且隨著危險水平的上升,頸動脈粥樣硬化檢齣率持續上升:隨著危險因素聚集箇數的增加,頸動脈粥樣硬化檢齣率明顯增加.增齡、高血壓、血脂異常、超重及糖尿病為亞臨床期頸動脈粥樣硬化的主要危險因素:Logistic多元迴歸分析顯示:高齡、高血壓和高LDL-C、低HDL-C是亞臨床期頸動脈粥樣硬化的獨立影響因素(χ~2值分彆為114.35、16.66、12.23、8.40,P<0.05),其中增齡對亞臨床期頸動脈粥樣硬化影響最彊.結論 女性亞臨床期頸動脈粥樣硬化的主要危險因素與導緻心血管病的主要危險因素基本一緻:亞臨床期頸動脈粥樣硬化的檢測適用于45歲以上體檢人群的篩查:亞臨床期頸動脈粥樣硬化的患病危險為多因素、多層次,早期榦預應多方位、多元化.
목적 탐토녀성아림상기경동맥죽양경화여심혈관위험인소적관계,지도건강체검실천.방법 수집녀성체검인군835례,균행경동맥초성검사,이경동맥중내막증후화죽양반괴형성작위아림상기경동맥죽양경화평개지표병분위경동맥중내막증후조、죽양반괴형성조、중내막증후혹죽양반괴형성조,비교심혈관위험인소:년령、혈압、혈당、체중지수、요위、혈총담고순、삼선감유、저밀도지단백담고순(LDL-C)화고밀도지단백담고순(HDL-C)대아림상기경동맥죽양경화적영향.결과 심혈관위험인소균대아림상기경동맥죽양경화산생영향,차수착위험수평적상승,경동맥죽양경화검출솔지속상승:수착위험인소취집개수적증가,경동맥죽양경화검출솔명현증가.증령、고혈압、혈지이상、초중급당뇨병위아림상기경동맥죽양경화적주요위험인소:Logistic다원회귀분석현시:고령、고혈압화고LDL-C、저HDL-C시아림상기경동맥죽양경화적독립영향인소(χ~2치분별위114.35、16.66、12.23、8.40,P<0.05),기중증령대아림상기경동맥죽양경화영향최강.결론 녀성아림상기경동맥죽양경화적주요위험인소여도치심혈관병적주요위험인소기본일치:아림상기경동맥죽양경화적검측괄용우45세이상체검인군적사사:아림상기경동맥죽양경화적환병위험위다인소、다층차,조기간예응다방위、다원화.
Objective To investigate the association between female subclinical carotid atherosclerosis and cardiovascular risk factors to provide evidence for health examination.Methods A total of 835 female subjects were included in this study.A measurement of carotid arteries with B-mode ultrasound imaging was performed.Intima-media thickness and plague of carotid arteries were regarded as the indicators of subclinical carotid atherosclerosis and main cardiovascular disease risk factors were treated as the impact factors.Results The prevalence of carotid atherosclerosis was continually increased with elevated number and level of baseline risk factors.Age, hypertension, hypercholesterolemia, over-weight and diabetes were found to be the main risk factors.Multiple logistic regression analysis showed that elder,hypertension,high LDL-C and HDL-C were independently associated with carotid atherosclerosis (χ~2 was 114.35, 16.66, 12.23, or 8.40, respectively; P < 0.05).Conclusion raditional cardiovascular risk factors exert an impact on subclinical carotid atherosclerosis.B-mode ultrasound examination may be a useful screen tool for people more than 45 year-old.Subclinical carotid atherosclerosis has multiple risk factors and requires effective prevention and treatment.
