摘要
目的了解心电图缺血性改变与颈动脉粥样硬化的相关性。方法采用流行病学横断面调查的方法对自然人群进行心血管病危险因素调查,共调查1392人,资料完整的1385人,其中1202人进行了颈动脉超声检查。心电图进行明尼苏达编码。颈动脉超声检测到斑块即为阳性,斑块面积为所有检查到的斑块的面积和。结果心电图有ST-T改变的患者颈动脉斑块检出率高,ST-T改变检出率与颈动脉斑块面积呈正相关。Logistic回归分析表明心电图ST-T改变组发生颈动脉斑块的OR为1.8(P<0.01);多因素分析表明,控制了年龄、性别、高血压病、糖尿病和高胆固醇后,仍独立关联。OR为1.3(P<0.05)。结论心电图ST-T改变与颈动脉粥样硬化显著相关,颈动脉粥样硬化一定程度上也反映了冠状动脉的粥样硬化。
Objective To understand the relationship between ST- T changes and carotid atherosclerosis in Chinese population. Methods 1392 participants from a nature population, aged 40 ~ 80 years, were surveryed. Out of them, electrocardiography was performed in 1385 persons, carotid ultrasound were done in 1202 persons. Results There were more carotid atherosclerosis plaques in persons with ST - T changes than those without ST- T changes. With the increase of the ST-T change rate, the surface of plaques was progressed. Logistic regress showed a correlation between the carotid plaque and ST - T change (OR 1.8, P<0.01), the relation still could be found after adjusted by age, gender, hypertension, diabetic mellitus and hypercholesterolemia (OR 1.3, P< 0.05) .Conclusions There is a significant correlation between ST-T change and carotid atherosclerosis.
出处
《医学研究通讯》
2004年第2期10-12,共3页
Bulletin of Medical Research
