中国循环杂志
中國循環雜誌
중국순배잡지
CHINESE CIRCULATION JOURNAL
2014年
6期
428-431
,共4页
王议%吴新华%杨瑛%陈章荣%欧阳天昭%匡时权%董瑜%李利华%吕滨%曹慧丽%Robert Detrano
王議%吳新華%楊瑛%陳章榮%歐暘天昭%劻時權%董瑜%李利華%呂濱%曹慧麗%Robert Detrano
왕의%오신화%양영%진장영%구양천소%광시권%동유%리리화%려빈%조혜려%Robert Detrano
冠心病%冠状动脉钙化%冠状动脉钙化积分%脉压差
冠心病%冠狀動脈鈣化%冠狀動脈鈣化積分%脈壓差
관심병%관상동맥개화%관상동맥개화적분%맥압차
Coronary artery disease%Coronary calciifcation%Coronary artery calcium score%Pulse pressure difference
目的:在了解云南农村自然人群冠状动脉钙化及冠状动脉钙化积分(CACS)的分布情况的基础上,进一步探讨冠状动脉钙化及CACS与脉压差的关系。<br> 方法:对云南农村自然人群进行随机分层整群抽样,采用16排螺旋计算机断层摄影术(CT)对212名受试者进行冠状动脉扫描,评估冠状动脉钙化程度,并应用Agatston积分法计算冠状动脉钙化积分,按性别、年龄、钙化积分等分组,比较各组间脉压差,探讨冠状动脉钙化及CACS与脉压差相关性。<br> 结果:51~60岁组的平均脉压差为(44.67±13.87)mmHg(1 mmHg=0.133 kPa),61~71岁年龄组平均脉压差为(50.00±17.44) mmHg,差异有统计学意义(P=0.015),且发现脉压差与年龄呈正相关(rs=0.202,P=0.003)。按CACS分组,CACS≥100组的平均脉压差[(55.22±18.79) mmHg]大于CACS<1组[(46.87±15.46) mmHg]和1≤CACS<100组[(45.20±15.89)mmHg],差异有统计学意义(P<0.05)。CACS≥100组的脉压差增大的患者比例(47.1%)同样大于CACS<1组(17.3%)和1≤CACS<100组(15.2%),差异有统计学意义(P<0.05)。在冠状动脉钙化阳性受试者中采用Spearman秩相关分析脉压差与CACS的相关性,结果显示脉压差与CACS呈正相关(相关系数rs=0.282),相关性有统计学意义(P=0.047),且在考虑年龄、胆固醇等混杂因素后仍存在正相关关系(回归系数β=0.887)。<br> 结论:云南省农村自然人群的冠心病危险因素脉压差与CACS有关,在冠状动脉钙化者中CACS随脉压差的增大而增大。
目的:在瞭解雲南農村自然人群冠狀動脈鈣化及冠狀動脈鈣化積分(CACS)的分佈情況的基礎上,進一步探討冠狀動脈鈣化及CACS與脈壓差的關繫。<br> 方法:對雲南農村自然人群進行隨機分層整群抽樣,採用16排螺鏇計算機斷層攝影術(CT)對212名受試者進行冠狀動脈掃描,評估冠狀動脈鈣化程度,併應用Agatston積分法計算冠狀動脈鈣化積分,按性彆、年齡、鈣化積分等分組,比較各組間脈壓差,探討冠狀動脈鈣化及CACS與脈壓差相關性。<br> 結果:51~60歲組的平均脈壓差為(44.67±13.87)mmHg(1 mmHg=0.133 kPa),61~71歲年齡組平均脈壓差為(50.00±17.44) mmHg,差異有統計學意義(P=0.015),且髮現脈壓差與年齡呈正相關(rs=0.202,P=0.003)。按CACS分組,CACS≥100組的平均脈壓差[(55.22±18.79) mmHg]大于CACS<1組[(46.87±15.46) mmHg]和1≤CACS<100組[(45.20±15.89)mmHg],差異有統計學意義(P<0.05)。CACS≥100組的脈壓差增大的患者比例(47.1%)同樣大于CACS<1組(17.3%)和1≤CACS<100組(15.2%),差異有統計學意義(P<0.05)。在冠狀動脈鈣化暘性受試者中採用Spearman秩相關分析脈壓差與CACS的相關性,結果顯示脈壓差與CACS呈正相關(相關繫數rs=0.282),相關性有統計學意義(P=0.047),且在攷慮年齡、膽固醇等混雜因素後仍存在正相關關繫(迴歸繫數β=0.887)。<br> 結論:雲南省農村自然人群的冠心病危險因素脈壓差與CACS有關,在冠狀動脈鈣化者中CACS隨脈壓差的增大而增大。
목적:재료해운남농촌자연인군관상동맥개화급관상동맥개화적분(CACS)적분포정황적기출상,진일보탐토관상동맥개화급CACS여맥압차적관계。<br> 방법:대운남농촌자연인군진행수궤분층정군추양,채용16배라선계산궤단층섭영술(CT)대212명수시자진행관상동맥소묘,평고관상동맥개화정도,병응용Agatston적분법계산관상동맥개화적분,안성별、년령、개화적분등분조,비교각조간맥압차,탐토관상동맥개화급CACS여맥압차상관성。<br> 결과:51~60세조적평균맥압차위(44.67±13.87)mmHg(1 mmHg=0.133 kPa),61~71세년령조평균맥압차위(50.00±17.44) mmHg,차이유통계학의의(P=0.015),차발현맥압차여년령정정상관(rs=0.202,P=0.003)。안CACS분조,CACS≥100조적평균맥압차[(55.22±18.79) mmHg]대우CACS<1조[(46.87±15.46) mmHg]화1≤CACS<100조[(45.20±15.89)mmHg],차이유통계학의의(P<0.05)。CACS≥100조적맥압차증대적환자비례(47.1%)동양대우CACS<1조(17.3%)화1≤CACS<100조(15.2%),차이유통계학의의(P<0.05)。재관상동맥개화양성수시자중채용Spearman질상관분석맥압차여CACS적상관성,결과현시맥압차여CACS정정상관(상관계수rs=0.282),상관성유통계학의의(P=0.047),차재고필년령、담고순등혼잡인소후잉존재정상관관계(회귀계수β=0.887)。<br> 결론:운남성농촌자연인군적관심병위험인소맥압차여CACS유관,재관상동맥개화자중CACS수맥압차적증대이증대。
Objective: Based on coronary artery calciifcation (CAC) distribution in the rural population of Yunnan province, we further explored the relationship between coronary artery calciifcation score (CACS) and the pulse pressure difference (PPD). <br> Methods: A randomly stratiifed cluster sampling method was used to study the rural population of Yunnan province and 16-MDCT scan was performed in 212 subjects for evaluating their CAC and calculating CACS. The subjects were divided into 2 sets of groups according to the age and CACS value. Age (51-60) years group,n=108 and Age (61-71) years group,n=104; CACS<1 group,n=162, 1≤CACS<100 group,n=33 and CACS≥100 group,n=17. The PPD level and the relationship between CACS and PPD were compared among different groups. <br> Results: The average PPD level in Age (61-71) years group was (44.67±13.87) mmHg and in Age (61-71) years group was (50.00±17.44) mmHg,P=0.015, PPD was positively related to age, rs=0.202,P=0.003. The average PPD level in CACS≥100 group, CACS<1 group and 1≤CACS<100 group were (55.22±18.79) mmHg, (46.87±15.46) mmHg and (45.20±15.89) mmHg respectively,P<0.05. The patients with increased PPD level in CACS≥100 group was 47.1%, in CACS<1 group was 17.3% and in 1≤CACS<100 group was 15.2%,P<0.05. Spearman rank correlation analysis indicated that PPD level was positively related to CACS, rs=0.282,P=0.047, with adjusted confounding factors such as age and blood cholesterol level, the PPD was still positively related to CACS. <br> Conclusion: PPD as a risk factor of coronary artery disease is related to CACS in rural population of Yunnan province, the CACS increased accordingly with the elevated PPD level.