摘要
目的:探讨影响心电平板运动试验结果的一些临床因素。方法:回顾分析528例心电平板运动试验,设定可能对心电平板运动试验结果有影响的13个临床因素(自变量):性别、年龄、抽烟、高血压病、糖尿病、临床症状、体重指数(BMI)、空腹血糖(FBG)、血甘油三酯(TG)、血总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、高敏C-反应蛋白(h-CRP),心电平板运动试验结果分为阳性、可疑阳性、阴性三类。结果:在528例心电平板运动试验中阳性80例(15.15%),可疑阳性33例(6.25%),阴性415例(78.69%)。男、女阳性率(15.40%,14.48%),男性的相对危险度为1.064倍,有、无抽烟的阳性率(22.78%,8.93%),抽烟的相对危险度为2.551倍,有、无高血压病的阳性率(24.66%,11.52%),高血压病的相对危险度为2.141倍,有、无糖尿病的阳性率(25.00%,14.76%),糖尿病的相对危险度为1.694倍,差异均有显著性。有、无临床症状的阳性率(19.44%,14.84%),差异无显著性。二分类Lo-gistic同归分析,经7步逐步同归计算,最后有4个自变量入选,依次为:年龄、体重指数、抽烟、无高血压病(负相关),排除其他9个因子。结论:影响心电平板运动试验结果的一些临床因素主要为年龄、体重指数、抽烟、高血压病。
Objective：To investigate the clinical factors offecting the exercise treadmill test.Methods：528 cases of exercise treadmill test were analysed retrospectively.13 clinical factors （independent variable）affecting the exercise treadmill test probably wrer posited,including gender, age,smoking,hypertension,diabetes,clinical symptom,body mass index（BMI）,fasting blood glucose（GLU）,blood glycerin（TG）, blood cholesterol（TC）,high density lipoproteincholesterol（HDL-C）,low density lipoprotein-cholesterol（LDL-C） and high sensitivity C-response protein （H-CRP）.The outcomes of exercise treadmill test were divided into three types as positive,shadypositive and negative.Results：In 528 cases of exercise treadmill test,80 cases（15.15%）were positive,33cases（6.25%） were shady-positive and 415 cases（78.69%） were negative.The positive rate in men and women was 15.40% and 14.48% respectively,male relative risk （RR）=1.064 time.The positive rate in smoking and without smoking was 22.78% and 8.93 respectively,smoking RR=2.551 times.The positive rate in hypertension and without hypertension was 24.66% and 11.52% respectively,hypertension RR=2.141 times.The positive rate in diabetes and without diabetes was 25.00% and 14.76% respectively, diabetes RR=1.694 times.The positive rate in symptom and without symptom was 19.44% and 14.84% respectively,without significant difference.Mter seven step＇s counting ,four independent Variables of age,BMI,Smoking and no hypertension （minus correlation）were entered with binary Logistic regression.Conclusion：The major clinical factors affecting the exercise treadmill test were age,BMI,Smoking and hypertension.
出处
《现代医药卫生》
2006年第24期3722-3724,共3页
Journal of Modern Medicine & Health
关键词
运动试验
危险因素
临床分析
Exercise test
Risk factor
Clinical analysis
