CAJ | 학술논문

目的：研究心踝血管指数（CAVI）、踝臂指数（ABI）与颈动脉超声检查结果的相关性及这些指标在体检筛查动脉硬化上的应用。方法对481例体检人员进行CAVI、ABI、颈动脉超声检查，对结果的相关性进行统计学分析。结果相对于ABI，CAVI与颈动脉内中膜厚度（IMT）相关度更高（r=0.437，P=0.001），超声检出颈动脉斑块与未检出斑块的人群CAVI、ABI均有显著性差异（P<0.05）；CAVI正常与异常人群比较, ABI无显著性差异,而IMT、颈动脉斑块阳性率均有显著性差异。结论 CAVI和ABI与颈动脉超声检查结果均有相关性，针对不同性别、年龄、身高、体重给出CAVI的正常值范围对于早期诊断动脉硬化更为敏感，但各个指标之间不能相互替代，需要进行综合判断。
목적：연구심과혈관지수（CAVI）、과비지수（ABI）여경동맥초성검사결과적상관성급저사지표재체검사사동맥경화상적응용。방법대481례체검인원진행CAVI、ABI、경동맥초성검사，대결과적상관성진행통계학분석。결과상대우ABI，CAVI여경동맥내중막후도（IMT）상관도경고（r=0.437，P=0.001），초성검출경동맥반괴여미검출반괴적인군CAVI、ABI균유현저성차이（P<0.05）；CAVI정상여이상인군비교, ABI무현저성차이,이IMT、경동맥반괴양성솔균유현저성차이。결론 CAVI화ABI여경동맥초성검사결과균유상관성，침대불동성별、년령、신고、체중급출CAVI적정상치범위대우조기진단동맥경화경위민감，단각개지표지간불능상호체대，수요진행종합판단。
Objective To investigate the relationship between cardio-ankle vascular index(CAVI),ankle brachial index (ABI) and carotid ultrasonic examination results and their application in physical examination for screening arteriosclerosis. Methods Cardio ankle vascular index,ankle brachial index were measured and carotid artery ultrasonography was checked in 481 people. Correlation of the results was statistically analyzed. Results Compared with ABI,CAVI was more relevant to the carotid artery intima-media thickness(IMT), r=0.437,P=0.001. CAVI and ABI had significant differences between carotid artery plaque and no plaque group tested by ultrasound (P<0.05). There was no significant difference in ABI between normal CAVI group compared with the abnormal group,while IMT and the positive rate of carotid artery plaque were significantly different(P<0.05). Conclusion CAVI and ABI are relevant with the result of carotid artery ultrasound test. CAVI normal ranges given according to different gender,age,height,weight are more sensitive for early diagnosis of arteriosclerosis. But all the indexes can not replace each other. The results should be comprehensively analyzed.