摘要
目的:探讨老年急性冠脉综合征(ACS)患者脉搏波传导速度(PWV)的变化。方法:将142名老年患者分为ACS组和对照组,进行PWV及总胆固醇(TC)、甘油三脂(TG)、低密度胆固醇脂蛋白(LDL-C)、空腹血糖(FBG)、血压和体重指数(BMI)的测量,用聚类分层法对不同PWV及各危险因素分层下两组中PWV的检出率进行统计分析。结果:ACS组PWV在小于1550cm/s亚层中的检出率显著低于对照组,而在1550~1850cm/s和大于1850cm/s亚层中的检出率则高于对照组(P<0.01),PWV是ACS的一个相对独立的危险因子。结论:PWV可以为心血管疾病的预防和诊断提供可靠的信息。
Objective:To investigate the changes of pulse wave velocity (PWV) in old patients with acute coro nary syndrome (ACS). Methods: Hundred and forty two hospitalized patients were divided into ACS group and normal control group. Total cholesterol(TO, triglyceride(TG), low density lipoprotein cholesterol (LDL-C), fasting blood glucose(FBG), blood pressure, body mass index (BMI) and PWV were measured. Cluste〉stratification analysis was used to explore the underlying differences among each tertile of any risk factors. Results:The detection rate of PWV below 1550cm/s was significantly lower in ACS group than that in control group, while PWV was 1550cm/s or higher the detection rate was higher than that in control group (P〈0. 01). PWV is an relatively independent risk factor for ACS. Conclusions.. PWV may provide reliable information in preventing and diagnosing cardiovascular disease.
出处
《内科急危重症杂志》
2009年第2期78-80,共3页
Journal of Critical Care In Internal Medicine