首页|系统性红斑狼疮合并心血管疾病临床特点及相关因素分析

系统性红斑狼疮合并心血管疾病临床特点及相关因素分析

Analysis of clinical features and related factors of systemic lupus erythematosus complicated with cardiovascular disease

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目的 探讨系统性红斑狼疮(SLE)患者合并心血管疾病的临床特点以及潜在危险因素,以期为临床诊治工作提供一定的帮助.方法 收集2021年12月-2022年12月在蚌埠医科大学第一附属医院风湿科诊治的202例SLE患者的临床资料,其中男性22例,女性180例.根据是否合并心血管疾病将患者分为合并心血管疾病的病例组(58例)和不合并心血管疾病的对照组(144例),分析比较2组患者的临床资料.结果 SLE合并心血管疾病患者共58例,患病率为28.7%.2组年龄、左颈总动脉阻力指数、左颈总动脉最大血流速度、血糖、血小板计数、IgG水平、C3、总胆固醇、D二聚体、抗磷脂抗体阳性率及病程差异均有统计学意义(P<0.05).Logistic回归分析显示,年龄增加、左颈总动脉阻力指数升高、高血糖、血小板以及IgG水平异常均为SLE患者并发心血管疾病的独立危险因素(P<0.05).结论 SLE患者合并心血管疾病的发病率受多种因素共同影响,其中年龄的增大、抗磷脂抗体阳性状态、左颈总动脉阻力指数升高、血糖异常、血小板计数及IgG水平的异常是其潜在危险因素.因此,在临床实践中,应综合考虑这些因素,制定全面的风险评估和管理策略,以有效降低SLE患者的心血管疾病患病风险.
Objective To examine the clinical characteristics and potential risk factors associated with systemic lupus er-ythematosus(SLE)patients with cardiovascular diseases.The findings of this study will contribute to the development of more accurate clinical diagnosis and treatment strategies for SLE patients with cardiovascular diseases.Methods The clinical data of 202 patients with SLE,comprising 22 males and 180 females,were collected from the Rheumatology De-partment of the First Affiliated Hospital of Bengbu Medical University between December 2021 and December 2022.The patients were divided into two groups:a case group comprising 58 patients with cardiovascular diseases and a control group comprising 144 patients without cardiovascular diseases.The clinical data of the two groups were subjected to anal-ysis and comparison.Results There were a total of 58 SLE patients with cardiovascular diseases,with an incidence rate of 28.7%.There were statistically significant differences in age,left common carotid artery resistance index,left common carotid artery maximum blood flow velocity,blood glucose,platelet count,IgG level,C3,total cholesterol,D-dimer,an-tiphospholipid antibody positive rate,and disease duration between the two groups(P<0.05).Logistic regression analy-sis showed that increased age,elevated left common carotid artery resistance index,hyperglycemia,platelet count,and abnormal IgG level were independent risk factors for SLE patients with cardiovascular diseases(P<0.05).Conclusion The incidence rate of SLE patients with cardiovascular diseases is influenced by multiple factors,among which age in-crease,positive antiphospholipid antibody status,elevated left common carotid artery resistance index,abnormal blood glucose,platelet count,and abnormal IgG level are potential risk factors.It is therefore recommended that these factors should be taken into account in clinical practice in order to develop comprehensive risk assessment and management strat-egies which will effectively reduce the risk of cardiovascular disease in patients with SLE.

Systemic lupus erythematosusCardiovascular diseaseCarotid ultrasound dopplerAntiphospholipid anti-body

赵韵琦、谢长好、周瀛

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蚌埠医科大学第一附属医院风湿免疫科,安徽蚌埠 233004

系统性红斑狼疮 心血管疾病 颈动脉超声多普勒 抗心磷脂抗体

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(12)