中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
17期
64-64,65
,共2页
动脉硬化%排序%PWV%ABI%可逆性
動脈硬化%排序%PWV%ABI%可逆性
동맥경화%배서%PWV%ABI%가역성
Arteriosclerosis%Priority%Pulse wave velocity%Ankle-brachial index%Reversible
目的通过对5050例心脑血管相关疾病患者的早期血管病变检测，应用无创动脉硬化检测仪和彩超，对心脑血管病的血管弹性、功能及内部状况的了解，经分析研究各疾病对危害血管的轻重进行排序，引导临床对各疾病动脉硬化的损伤情况，进行及早干预及用药，降低伤残、死亡的发生率。方法应用日本VP-100动脉硬化检测仪及彩超iU22、DH11，对1200例健康人群和3850例8种疾病患者进行检测。结果各年龄组间的PWV异常程度比较，差异有统计学意义（x2＝26.94,P＜0.01)；ABI异常情况比较差异也有统计学意义（x2＝46.75,P＜0.01)。而且，两种指标的异常程度呈现出随着年龄增大逐渐加重趋势。5种疾病及肥胖、吸烟之间的PWV异常程度比较，差异有统计学意义（x2＝119.63,P＜0.01)，其中高血压、糖尿病和冠心病的异常程度较为严重；ABI异常情况比较差异也有统计学意义（x2＝212.01,P＜0.01)，其中以糖尿病和高血压较为严重。结论无创动脉检测仪结合彩超检查可早期发现心脑血管疾病，有利于对这些疾病的早期干预。
目的通過對5050例心腦血管相關疾病患者的早期血管病變檢測，應用無創動脈硬化檢測儀和綵超，對心腦血管病的血管彈性、功能及內部狀況的瞭解，經分析研究各疾病對危害血管的輕重進行排序，引導臨床對各疾病動脈硬化的損傷情況，進行及早榦預及用藥，降低傷殘、死亡的髮生率。方法應用日本VP-100動脈硬化檢測儀及綵超iU22、DH11，對1200例健康人群和3850例8種疾病患者進行檢測。結果各年齡組間的PWV異常程度比較，差異有統計學意義（x2＝26.94,P＜0.01)；ABI異常情況比較差異也有統計學意義（x2＝46.75,P＜0.01)。而且，兩種指標的異常程度呈現齣隨著年齡增大逐漸加重趨勢。5種疾病及肥胖、吸煙之間的PWV異常程度比較，差異有統計學意義（x2＝119.63,P＜0.01)，其中高血壓、糖尿病和冠心病的異常程度較為嚴重；ABI異常情況比較差異也有統計學意義（x2＝212.01,P＜0.01)，其中以糖尿病和高血壓較為嚴重。結論無創動脈檢測儀結閤綵超檢查可早期髮現心腦血管疾病，有利于對這些疾病的早期榦預。
목적통과대5050례심뇌혈관상관질병환자적조기혈관병변검측，응용무창동맥경화검측의화채초，대심뇌혈관병적혈관탄성、공능급내부상황적료해，경분석연구각질병대위해혈관적경중진행배서，인도림상대각질병동맥경화적손상정황，진행급조간예급용약，강저상잔、사망적발생솔。방법응용일본VP-100동맥경화검측의급채초iU22、DH11，대1200례건강인군화3850례8충질병환자진행검측。결과각년령조간적PWV이상정도비교，차이유통계학의의（x2＝26.94,P＜0.01)；ABI이상정황비교차이야유통계학의의（x2＝46.75,P＜0.01)。이차，량충지표적이상정도정현출수착년령증대축점가중추세。5충질병급비반、흡연지간적PWV이상정도비교，차이유통계학의의（x2＝119.63,P＜0.01)，기중고혈압、당뇨병화관심병적이상정도교위엄중；ABI이상정황비교차이야유통계학의의（x2＝212.01,P＜0.01)，기중이당뇨병화고혈압교위엄중。결론무창동맥검측의결합채초검사가조기발현심뇌혈관질병，유리우대저사질병적조기간예。
0bjective The aim of this study is to assess vascular compliane,function,status and determine the prinrity of impairment in patients with various cardio-cerebrovascuar disease(CCD),to make clinical doctor pay attenteon to arteriosc lerosis,finally,to decrease the incidence rate of physically disabled or death by early intervention and treatment. Method 1200 heathly individuals and 3850 patients with CCD were recruited for dhis study,the brachial-ankle pulse wave velocity(baPWV,PWV)and ankle-brachial index(ABI) of all candidates was neasured using cardio vadcular profiling systen VP-100 (Colin co.Ltd.,Komaki,Japan),and the function of blood vessel was assessed utilizing iu22 and DH11 color doppler ultrasound machine(Philips Co.Ltd.,Holland). Result There was a statistics difference in PWV(x2=26.94,P<0.01),and ABI(x2=46.75,P<0.01)between various age groups,and, the abnormality of two indexs correlated positively with age. Compared with obesity,smoding the PWV was different between there clinical parameters(hypertension,hyperlipenia,diabe tes,coronary,atrery,disease(CAD),cerbral infarction)(x2=119.63,P<0.01),especially,the abnormality of PWV in patients with hypertension,diabetes,CAD was significant.It was all the same to ABI(x2=212.01,P<0.01)after consideration of various risk factors,exteaordinary in patients with diabetes and hypertension.Conclusion Non-invasive vascular screening,conbined with color doppler ultrasound examination is useful in finding CCD as early as possible,and convenient for doctors’s early intervention to diseases mentioned above.
