目的 探讨影响体检人群心踝血管指数(CAVI)的危险因素.方法 收集2010年1~12月在该院体检中心受检的4 452例,测量各项指标,根据CAVI 的结果进行分组,CAVI <9.0 m/s为正常对照组,CAVI≥9.0 m/s为动脉硬化组,并对两组结果进行统计分析.结果 动脉硬化组和正常对照组的性别构成比差异有统计学意义(P<0.05).动脉硬化组的年龄、收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、三酰甘油(TG)及血糖(Glu) 显著高于正常对照组(P<0.05).经单变量Logistic 回归分析中有显著意义的变量进行多变量Logistic回归分析,发现年龄、性别、SBP、DBP、GLU是CAVI的独立危险因素,其中年龄对CAVI的影响作用最大(OR=3.171).结论 年龄、性别、SBP 、DBP、Glu是CAVI的独立危险因素,其中年龄对CAVI的影响作用最大.%Objective To investigate the risk factors correlated with the cardio ankle vascular index in physical examination pop ulation of Chongqing. Methods 4 452 subjects were included in this program during the physical examination in medical examina tion center of the First Affiliated Hospital of Chongqing Medical University from January to December ,2010. And various indexes were measured. According to CAVI these subjects were divided into two groups: the control group(CAVK9. 0 m/s) and arterio sclerosis group(CAVI^9. 0 m/s) , then the results of the two groups were analyzed by the statistical analysis. Results There was significant difference between male and female in both control group and arteriosclerosis group(P<0. 05). The age,systolic pres sure(SBP) ,diastolic pressure(DBP) , total cholesterol(TC) , low density lipoprotein(LDL) ,TG and glucose(Glu) in the arterio sclerosis group were significantly higher than those in the control group(P<0. 05). then we took the significant variables found in the single argument logistic regressions for the multivariate logistic regression analysis, the results showed that age,gender,SBP, DBF and GLU were the independent risk factors of the CAVI, and age had the greatest influence on CAVI(OR = 3. 171). Conclusion Age, gender, SBP, DBF and GLU were the independent risk factors of the CAVI, and age had the greatest influence on CAVI.
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