摘要
目的分析影响老年心血管疾病的危险因素,并探讨颈动脉超声检查与老年心血管疾病主要危险因素的相关性。方法选择我院心血管内科接诊的200例老年心血管疾病患者作为观察组,另选取同期200例无心血管疾病的老年健康体检志愿者作为对照组。比较两组的临床资料,分析老年患者发生心血管疾病的危险因素。对老年心血管疾病患者进行颈动脉超声检查,根据颈动脉内膜中层厚度(IMT)将其分为IMT阳性组与IMT阴性组,比较两组的老年心血管疾病危险因素指标,分析IMT与老年心血管疾病危险因素的相关性。结果单因素、多因素Logistic线性回归分析显示,年龄、BMI指数、收缩压、舒张压、空腹血糖、甘油三酯、血尿酸、吸烟史是老年患者发生心血管疾病的危险因素(P<0.05)。IMT阳性组的年龄、BMI指数、收缩压、舒张压、空腹血糖、甘油三酯、血尿酸和吸烟史占比均高于IMT阴性组(P<0.05)。IMT与老年心血管疾病患者的年龄、BMI指数、收缩压、舒张压、空腹血糖、甘油三酯、血尿酸、吸烟史均呈正相关(P<0.05)。结论年龄、BMI指数、血压、空腹血糖、甘油三酯、血尿酸、吸烟史是老年心血管疾病的主要危险因素,颈动脉超声检查中的IMT参数与老年心血管疾病的主要危险因素密切相关。
Objective To analyze the risk factors of cardiovascular disease in the elderly,and to explore the correlation between carotid ultrasonography and the main risk factors of cardiovascular disease in the elderly.Methods Two hundred elderly patients with cardiovascular disease who accepted by the cardiovascular department of our hospital were selected as observation group,and another 200 elderly physical examination volunteers without cardiovascular disease in the same period were selected as control group.The clinical data of the two groups were compared,and the risk factors of cardiovascular disease in elderly patients were analyzed.Carotid ultrasonography was performed in elderly patients with cardiovascular disease.According to carotid intima-media thickness(IMT),the elderly patients with cardiovascular disease were divided into IMT positive group and IMT negative group.The risk factors of cardiovascular disease in the elderly between the two groups were compared,and the correlation between IMT and risk factors of cardiovascular disease in the elderly was analyzed.Results Univariate and multivariate Logistic regression linear analysis showed that age,BMI index,systolic blood pressure,diastolic blood pressure,fasting blood glucose,triglyceride,blood uric acid and smoking history were the risk factors of cardiovascular disease in elderly patients(P<0.05).The age,BMI index,systolic blood pressure,diastolic blood pressure,fasting blood glucose,triglyceride,blood uric acid and proportion of smoking history of the IMT positive group were higher than those of the IMT negative group(P<0.05).IMT was positively correlated with age,BMI index,systolic blood pressure,diastolic blood pressure,fasting blood glucose,triglyceride,blood uric acid and smoking history of elderly patients with cardiovascular disease(P<0.05).Conclusion Age,BMI index,blood pressure,fasting blood glucose,triglyceride,blood uric acid and smoking history are the main risk factors of cardiovascular diseases in the elderly.IMT parameters in carotid ultrasound are closely related to the main risk factors of cardiovascular disease in the elderly.
作者
朱国英
左云芳
李令民
ZHU Guoying;ZUO Yunfang;LI Lingmin(Xi'an Fourth Hospital,Xi'an 710004,China)
出处
《临床医学研究与实践》
2020年第25期26-28,共3页
Clinical Research and Practice
关键词
心血管疾病
颈动脉超声
颈动脉内膜中层厚度
cardiovascular disease
carotid ultrasound
carotid intima-media thickness
