中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2013年
4期
465-468
,共4页
沈英豪%张俊峰%周静%戎鑫%郭华%顾庆%张彩兰
瀋英豪%張俊峰%週靜%戎鑫%郭華%顧慶%張綵蘭
침영호%장준봉%주정%융흠%곽화%고경%장채란
性别因素%年龄因素%人体质量指数%高血压/病理生理学%动脉/病理生理学
性彆因素%年齡因素%人體質量指數%高血壓/病理生理學%動脈/病理生理學
성별인소%년령인소%인체질량지수%고혈압/병리생이학%동맥/병리생이학
Sex factors%Age factors%Body mass index%Hypertension/physiopathology%Arteries/physiopathology
目的 探讨性别、年龄、BMI对离血压患者动脉僵硬度的影响.方法 从上海市宝山区6家社区卫生中心及上海市第三人民医院入选1026例单纯高血压患者,收集病史信息,检测其颈-股动脉脉搏波速度(C-F PWV).672例患者在随访一年后完成复测.从性别、年龄、BMI的不同水平进行分组比较及随访前后对照分析.结果 (1)男性组C-F PWV高于女性组,分别为(13.63 ±3.07)m/s和(12.59±2.85)m/s(P <0.01).一年后两组C-F PWV均增快,男性为(14.11 ±3.58)m/s,女性(13.51 ±±3.56)m/s(P<0.05).(2)30 ~ 50岁、>50 ~ 70岁、>70岁三组C-F PWV随年龄增大而增快,分别为(11.11 ±2.00)m/s、(12.73 ±2.77) m/s、(14.74 ±3.29)m/s(P<0.01).1年后3组的C-F PWV均增快,分别为(11.36 ±l.78)m/s(P >0.05)、(13.39±3.33) m/s(P<0.01)和(15.68±3.94)m/s(P<0.05),C-F PWV增幅依次为:>70岁组、>50 ~ 70岁组、30 ~ 50岁组.(3)BMI≥24 kg/m2组较BMI< 24 kg/m2组C-F PWV略低,分别为(12.93 ±2.89) m/s和(13.39±3.18)m/s(P<0.05).1年后C-F PWV值均有增高,分别为(13.54±3.54) m/s,(14.27±3.61) m/s(P<0.01).结论 除BMI外,性别、年龄均为动脉僵硬度的重要影响因素.
目的 探討性彆、年齡、BMI對離血壓患者動脈僵硬度的影響.方法 從上海市寶山區6傢社區衛生中心及上海市第三人民醫院入選1026例單純高血壓患者,收集病史信息,檢測其頸-股動脈脈搏波速度(C-F PWV).672例患者在隨訪一年後完成複測.從性彆、年齡、BMI的不同水平進行分組比較及隨訪前後對照分析.結果 (1)男性組C-F PWV高于女性組,分彆為(13.63 ±3.07)m/s和(12.59±2.85)m/s(P <0.01).一年後兩組C-F PWV均增快,男性為(14.11 ±3.58)m/s,女性(13.51 ±±3.56)m/s(P<0.05).(2)30 ~ 50歲、>50 ~ 70歲、>70歲三組C-F PWV隨年齡增大而增快,分彆為(11.11 ±2.00)m/s、(12.73 ±2.77) m/s、(14.74 ±3.29)m/s(P<0.01).1年後3組的C-F PWV均增快,分彆為(11.36 ±l.78)m/s(P >0.05)、(13.39±3.33) m/s(P<0.01)和(15.68±3.94)m/s(P<0.05),C-F PWV增幅依次為:>70歲組、>50 ~ 70歲組、30 ~ 50歲組.(3)BMI≥24 kg/m2組較BMI< 24 kg/m2組C-F PWV略低,分彆為(12.93 ±2.89) m/s和(13.39±3.18)m/s(P<0.05).1年後C-F PWV值均有增高,分彆為(13.54±3.54) m/s,(14.27±3.61) m/s(P<0.01).結論 除BMI外,性彆、年齡均為動脈僵硬度的重要影響因素.
목적 탐토성별、년령、BMI대리혈압환자동맥강경도적영향.방법 종상해시보산구6가사구위생중심급상해시제삼인민의원입선1026례단순고혈압환자,수집병사신식,검측기경-고동맥맥박파속도(C-F PWV).672례환자재수방일년후완성복측.종성별、년령、BMI적불동수평진행분조비교급수방전후대조분석.결과 (1)남성조C-F PWV고우녀성조,분별위(13.63 ±3.07)m/s화(12.59±2.85)m/s(P <0.01).일년후량조C-F PWV균증쾌,남성위(14.11 ±3.58)m/s,녀성(13.51 ±±3.56)m/s(P<0.05).(2)30 ~ 50세、>50 ~ 70세、>70세삼조C-F PWV수년령증대이증쾌,분별위(11.11 ±2.00)m/s、(12.73 ±2.77) m/s、(14.74 ±3.29)m/s(P<0.01).1년후3조적C-F PWV균증쾌,분별위(11.36 ±l.78)m/s(P >0.05)、(13.39±3.33) m/s(P<0.01)화(15.68±3.94)m/s(P<0.05),C-F PWV증폭의차위:>70세조、>50 ~ 70세조、30 ~ 50세조.(3)BMI≥24 kg/m2조교BMI< 24 kg/m2조C-F PWV략저,분별위(12.93 ±2.89) m/s화(13.39±3.18)m/s(P<0.05).1년후C-F PWV치균유증고,분별위(13.54±3.54) m/s,(14.27±3.61) m/s(P<0.01).결론 제BMI외,성별、년령균위동맥강경도적중요영향인소.
Objective To investigate the influences of gender,age,and body mass index (BMI)on the arterial stiffness in hypertensive patients.Methods A total of 1026 hypertensive patients were enrolled in this study from 6 community health centers in Baoshan District and Shanghai Third People's Hospital.The Related medical histories and carotid-femoral(C-F) pulse wave velocity (PWV) were recorded and PWV were re-tested in 672 patients after 1 year's follow-up.The C-F PWV was analyzed from different group of Gender,age and BMI at baseline and after follow up.Results (1)C-F PWV of the male hypertensive patients were higher than that of female's and the corresponding figures were (13.63 ±3.07)m/s and (12.59±2.85)m/s(P <0.01).After one year's follow up,C-F PWV was increased in both male and female with corresponding figures of (14.11 ± 3.58) m/s and (13.51 ± 3.56) m/s (P < 0.05).(2) The C-F PWV was increased with age.The corresponding figures were [(11.11 ± 2.00) m/s for age group 30 ~ 50 years old,(12.73 ± 2.77) m/s for age group > 50 ~ 70 years old,and (14.74 ± 3.29) m/s for age group > 70 years old,all P <0.01].After one year's follow-up,C-F PWV of three age groups was increased and the corresponding figures were [(11.36±1.78)m/s(P >0.05),(13.39±3.33)m/s(P <0.01),and (15.68 ±3.94)m/s(P <0.05)].The increased range of C-F PWV (from high to low) was age group > 70,age group > 50 ~70 and age group 30 ~50.(3) C-F PWV of patients with BMI ≥ 24 kg/m2 was significantly lower than that of patients with BMI <24 kg/m2 and the corresponding figures were [(12.93 ±2.89)m/s and (13.39 ±3.18)m/s,P <0.05].After one year's follow up,C-F PWV was increased and the figures were [(13.54 ± 3.54) rn/s and (14.27±3.61) m/s,respectively(P <0.01)].Conclusions Except BMI,gender and age were the important influence factors on arterial stiffness.