代谢综合征与脉搏波传导速度的相关性

Correlation between metabolic syndrome and brachial ankle pulse wave velocity

目的探讨健康体检人群中代谢综合征(MS)和臂踝脉搏波传导速度(ba-PWV)之间的关系,为健康管理及临床诊治提供帮助。方法以2503例健康体检者为研究对象(男1861例,女642例;年龄21~88岁)。测量血压、身高、体质量指数;检查空腹血糖、血脂及ba-PWV。以中华医学会糖尿病学分会的代谢综合征诊断标准来确定有无MS并分组,对比分析组间ba-PWV的情况。结果 2503例体检者中MS检出率为14.1%(352例),男性占14.0%,女性占14.2%。随着年龄增加,ba-PWV逐渐增加。各年龄组间及不同性别组间,差异有统计学意义(P<0.05)。结论 MS与动脉血管僵硬度关系密切,有心血管危险因素的中老年人应重视ba-PWV的检查和MS的干预。

Objective To explore the relationship between metabolic syndrome( MS) and brachial ankle pulse wave velocity( ba-PWV) and provide help for health management and clinical diagnosis and treatment. Methods The 2503 cases chosen from the health examination in our hospital from January to December 2014( male 1861 cases,female 642 cases; age from 21-88). Blood pressure,height and body mass index were measured. Fasting blood glucose,blood lipid and ba-PWV were examined. The groups were divided according whether complicated with MS by metabolic syndrome criteria of Chinese Diabetes Society,and then analyzed the ba-PWV between groups. Results The detection rate of MS was 14. 1%( 352) in 2503 cases,the rate of male and female were 14% and 14. 2% respectively. The ba-PWV gradually increased with age,there was significant difference between the age groups and gender groups( P < 0. 05). Conclusion There is a close relationship between MS and arterial stiffness,so the elderly with cardiovascular risk factors should pay attention to Ba-PWV examination and MS intervention.