首页|臂踝动脉脉搏波传导速度与发生恶性肿瘤的关系

臂踝动脉脉搏波传导速度与发生恶性肿瘤的关系

Correlation between brachial-ankle pulse wave velocity and malignancies

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目的 探讨臂踝动脉脉搏波传导速度(baPWV)与发生恶性肿瘤的关系.方法 采用横断面研究方法,研究对象为参加 2010 至2017 年健康体检且同时参加baPWV检测的开滦集团职工(41 404 例).按照baPWV水平将观察对象分为 3 组,分别为baPWV<1 400 cm/s、1 400 cm/s≤baPWV<1 800 cm/s和baPWV≥1 800 cm/s.采用多因素Logistic回归模型分析不同baPWV分组与恶性肿瘤的关系.结果 观察对象年龄(48.1±12.1)岁,男性占 71.9%.baPWV<1 400 cm/s、1 400 cm/s≤baPWV<1 800 cm/s、baPWV≥1 800 cm/s组发生恶性肿瘤比例分别为 0.58%、0.77%、0.92%.多因素Logistic回归模型分析显示,校正混杂因素:年龄、性别、吸烟、饮酒、体育锻炼、空腹血糖、平均动脉压、腰围、体重指数、总胆固醇和 C-反应蛋白,与 baPWV<1 400 cm/s 组比较,1 400≤baPWV<1 800 cm/s 和baPWV≥1 800 cm/s组观察对象发生恶性肿瘤的OR(95%CI)值分别为 1.17(1.06~1.30)、1.47(1.28~1.70)(P<0.01).结论 动脉硬化与发生恶性肿瘤有关联.
Objective To identify the correlation between brachial-ankle pulse wave velocity(baPWV)and malignancies.Methods It was a cross-sectional study involving 41 404 employees of Kailuan Group who participated in the physical examination and the baPWV test from 2010 to 2017.According to the level of baPWV,the subjects were divided into 3 groups as follows:group 1(baPWV≤1,400cm/s),group 2(1,400cm/s≤baPWV<1,800cm/s)and group 3(baPWV≥1,800cm/s).Logistic regression model was used to analyze the correlation between baPWV and malignancies.Results The mean age of the cohort was(48.1±12.1)years old.There were 71.9%male participants.The prevalence of malignancies in group 1,2 and 3 was 0.58%,0.77%and 0.92%,respectively.After adjusting for confounding factors including age,gender,smoking,drinking,physical exercise,fasting blood glucose,mean arterial pressure,waist circumference,body mass index,total cholesterol and C-reactive protein,the Logistic regression analysis showed that the odds ratio(OR)of malignancies in group 2 and 3 than that of group 1 was 1.17(95%CI 1.06-1.30)and 1.47(95%CI 1.28-1.70),respectively(P<0.01).Conclusion The baPWV is correlated with malignancies.

arterial stiffnessbrachial-ankle pulse wave velocity(baPWV)cancer

郁建阳、刘丹、刘涛、周晓燕、吴寿岭、迟玉玉

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061012 河北省沧州中西医结合医院急诊科

开滦总医院心血管内科

动脉硬化 臂踝动脉脉搏波传导速度 恶性肿瘤

沧州市重点研发计划指导项目

213106100

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(2)
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