社区老年人群心脑血管事件及其危险因素研究

Study on cardiovascular and cerebrovascular events and risk factors in community-dwelling elderly

目的探讨社区老年人群心脑血管事件的危险因素及脉搏波传导速度对社区老年人群心脑血管事件的预测作用。方法 2005年从北京地区干休所选定725例老年人,填写调查表,测量臂踝脉搏波传导速度(baPWV),2010年再次调查上述人群,复测baPWV,探讨导致社区老年人群心脑血管事件的危险因素。结果5年前高血压病史、吸烟及右侧baPWV增高是全因死亡及心脑血管事件发生的独立预测因素。结论 baPWV增高可能独立于其他心血管危险因素成为全因死亡及心脑血管事件的预测因子。

Objective To explore the risk factors of cardiovascular and cerebrovascular events for communitydwelling elderly and the association between baPWV and the cardiovascular and cerebrovascular events. Methods In2005,725 retired military officers and their spouses aged 60 and over were enrolled in the study. Aortic elasticity of the patients was assessed by brachial-ankle pulse wave velocity（ baPWV） which was measured by an automatic device. Most of the cases were investigated and received the above examinations again in 2010. Cardiovascular and cerebrovascular events in community-dwelling elderly were recorded and the association between baPWV and carotid atherosclerosis were investigated by multiple Logistic regression analysis. Results History of hypertention 5 years ago,smoking and faster right baPWV were independent predictive factors for cardiovascular and cerebrovascular event in community-dwelling elderly.Conclusions Faster baPWV may become an independent predictive factors for cardiovascular and cerebrovascular events.