中老年人群右颈动脉和右锁骨下动脉斑块检出率及影响因素分析

The Detection Rate and Influential Factors of Right Carotid Artery and Right Subclavian Artery Plaque in the Elderly Population

目的探讨中老年人群右颈动脉和右锁骨下动脉斑块的检出情况及影响因素。方法随机分层抽取唐山开滦(集团)有限责任公司在职及离退休职工中年龄≥40岁、既往无脑卒中、短暂性脑缺血发作(TIA)、心肌梗死者共5356例为调查对象,进行统一问卷调查、血液生物化学及颈部血管超声检查,并对相关危险因素进行多因素Logistic回归分析。结果标化年龄和性别后,研究人群中右颈动脉、右锁骨下动脉斑块检出率分别为29.6%和31.4%。多因素Logistic回归分析显示,男性、高龄、高收缩压、高胆固醇、高空腹血糖、吸烟是右颈动脉斑块的危险因素(其OR值分别为1.922、2.541、1.942、1.326、1.500、1.231);男性、高龄、高收缩压、高胆固醇、高空腹血糖、吸烟是右锁骨下动脉斑块的危险因素(其OR值分别为1.737、1.798、1.459、1.375、1.322、1.227)。结论中老年人群右颈动脉、右锁骨下动脉斑块检出率分别为29.6%和31.4%。右颈动脉及右锁骨下动脉斑块的影响因素为性别、年龄、收缩压、胆固醇、空腹血糖和吸烟。

Aim To study the detection rate and influential factors of carotid artery and subclavian artery plaque in the elderly population. Methods Subjects with previous stroke, transient is-chemic attack （TIA）, myocardial infarction were excluded. A total of 5356 employees （including who were being employed and those who were retired from Tangshan Kailuan Company）who were beyond 40 years old were identified to take part in the study through stratified random sampling. All the information were obtained from the unified questionnaire,measures of blood biochemistry and cervicular vascular ultrasonography. Multivariate Logistic regression analysis was used to analyse the fators affecting the carotid artery plaque. Results Studies population in the right carotid artery, right subclavian artery plaque detection rates were 29.6% and 31.4%. Multiple Logistic regression analysis showed that male, age, systolic blood pressure（SBP）, total cholesterol （TC）, fasting blood glucose （FBG） and smoking were the risk factors of right carotid artery plaque, the odds ratios were 1.922, 2.541, 1.942, 1.326, 1.500, 1.231. Male, age, SBP, TC, FBG and smoking were the risk factors of right subclavian artery plaque, the odds ratios were 1.737,1.798,1.459,1.375,1.322,1.227. Conclusion In the elderly population, the right carotid artery and right subclavian artery plaque detection rates were 29.6% and 31.4%. The right carotid artery and the right subclavian artery plaque influence factors were sex, age, SBP, TC, FBG, smoking.