首页|肱踝脉搏波传导速度的影响因素及其与全身炎症反应指数的相关性分析

肱踝脉搏波传导速度的影响因素及其与全身炎症反应指数的相关性分析

Influencing factors of brachial-ankle pulse wave velocity and its correla-tion with systemic inflammatory response index

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目的 探讨全身炎症反应指数(SIRI)与肱踝脉搏波传导速度(BaPWV)的相关性及临床价值.方法 于2018年1月至2019年12月,在闽东自然人群通过整体抽样收集共212名志愿者的临床相关资料,包括临床基线资料,空腹抽血检验血常规、血生化,测量BaPWV.以BaPWV值1 400m/s为界分为BaPWV正常组及升高组.通过单因素分析及Pearson检验分析两组数据,差异有统计学意义的变量,纳入多因素logistic回归分析,评估SIRI与BaPWV这两个指标之间的相关性,并分析BaPWV的影响因素.结果 BaPWV升高组的年龄、高血压、吸烟情况、收缩压、舒张压、总胆固醇、甘油三酯、低密度脂蛋白、白细胞、中性粒细胞、空腹血糖、同型半胱氨酸、SIRI水高于BaPWV正常组,差异有统计学意义(P<0.05),SIRI与BaPWV呈正相关(r=0.357,P<0.001).多因素logistic回归分析结果显示,年龄(β=0.110,OR=1.116,95%CI:1.069~1.165,P<0.001)、收缩压(β=0.034,OR=1.034,95%CI:1.001~1.068,P=0.041)、舒张压(β=0.083,OR=1.086,95%CI:1.033~1.142,P=0.001)是 BaPWV 增高的独立影响因素,而SIRI并非BaPWV增高的独立影响因素.结论 SIRI可能与动脉硬化发展过程中具有一定相关性,但并非起决定作用,临床上应更多关注年龄、收缩压、舒张压这些BaPWV增高独立影响因素,并及时采取相应干预措施,以便对动脉硬化风险更好临床管理.
Objective To investigate the correlation and clinical value of systemic inflammatory response index(SIRI)and brachial-ankle pulse wave velocity(BaPWV).Methods From January 201 8 to December 2019,clinical data from a total of 212 volunteers in the natural population of Eastern Fujian were collected using stratified random sampling.The data includ-ed baseline characteristics,fasting blood tests for complete blood count and blood biochemistry,as well as BaPWV measure-ments.Based on a cutoff value of 1 400 m/s for BaPWV,the volunteers were divided into normal and elevated BaPWV groups.Data from the two groups were analyzed through univariate analysis and Pearson test.Variables with statistically sig-nificant differences were included in multivariate logistic regression analysis to evaluate the correlation between SIRI and BaPWV,and the influencing factors of BaPWV were analyzed.Results The age,hypertension,smoking status,systolic blood pressure,diastolic blood pressure,total cholesterol,triglycerides,low density lipoprotein,white blood cells,neutrophil,fast-ing blood glucose,homocysteine and SIRI water in BaPWV increased group were higher than those in BaPWV normal group,with statistical significance(P<0.05).SIRI was positively correlated with BaPWV(r=0.357,P<0.001)The multivariate re-gression analysis revealed that age(β=0.110,OR=1.116,95%CI:1.069~1.165,P<0.001),systolic blood pressure(β=0.034,OR=1.034,95%CI:1.001~1.068,P=0.041),and diastolic blood pressure(β=0.083,OR=1.086,95%CI:1.033~1.142,P=0.001)were independent factors of BaPWV increase,but SIRI was not an independent factor of BaPWV in-crease.Conclusion SIRI may have a certain correlation with the development of arteriosclerosis,but it does not play a deci-sive role.Clinically,more attention should be paid to the independent influencing factors of BaPWV increase such as age,systolic blood pressure and diastolic blood pressure,and corresponding intervention measures should be taken in time to better clinical management of arteriosclerosis risk.

Systemic inflammation response indexBrachial-ankle pulse wave velocityRegression analysisInfluencing factors

占盛锦、吴雪琴、吴秀琴、陈重泽、洪永强

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福建省福安市城南街道社区卫生服务中心超声科,福建福安 355000

福建医科大学附属闽东医院超声医学科,福建福安 355000

全身炎症反应指数 肱踝脉搏波传导速度 回归分析 影响因素

福建省医学创新课题

2014-CXB-25

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(22)
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