摘要
目的:通过测量踝臂指数(ABI)评价心血管事件高危患者中踝臂指数异常情况及相关危险因素。方法:对住院的 670例心血管事件的高危患者进行踝臂指数(ABI)测量。ABI≤0.9定义为异常。采用单变量和多变量Logistic回归分析 判断ABI异常的独立危险因素。结果:本组患者中ABI异常的发生率32.2％。预测ABI异常的独立危险因素有:年龄 (OR=1.15,95％CI,1.12-1.19,P<0.001),脑血管病(OR=1.98,95％CI,1.28-3.04,P=0.002),心肌梗死 病史(OR=3.30,95％CI,1.95～5.57,P<0.001),糖尿病(DM)(OR=2.45,95％CI,1.57-3.83,P<0.001),颈动脉 杂音(OR=9.43,95％CA,1.64～54.39,P=0.012)。结论:约1／3的心血管事件高危患者存在ABI异常。多见于老年、 DM伴有多处血管床存在动脉粥样硬化病变的患者。
Objective: The aim of this study was to evaluate the prevalence and risk factors of abnormal ankle brachial index (ABI) in hospitalized patients with high risk of cardiovascular event. Methods: A total of 670 patients were recruited. Abnormal ABI was defined as ABI ≤0.9. Univariate and raultivariate Logistic regression analysis was made to explore the association of the clinical variables with abnormal ABI. Results: Overall prevalence of abnormal ABI was 32.2%. Independent predictors included age (OR = 1.15, 95% CI, 1.12- 1.19, P<0.001), ischemie stroke (OR = 1.98, 95% CI.1.28-3.04.P = 0.002), myocardial infarction(OR = 3.30, 95% CI, 1.95-5.57, P< 0.001), Diabetes mellitus(OR = 2.45, 95% CI, 1.57- 3.83,P< 0.001),carotid souffle(OR =9.43, 95% CI, 1.64-54.39,/> = 0.012) .Conclusion: One third of abnormal ankle brachial index were found in patients with high risk cardiovascular events, especially in older patients with diabetes mellitus and multiple atherosclerotic lesions.
出处
《中国医药导刊》
2005年第2期92-93,96,共3页
Chinese Journal of Medicinal Guide
