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健康体检人群心脏代谢指数与脑血管功能积分值的相关性分析

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目的 探讨健康体检人群心脏代谢指数(CMI)与脑血管功能积分值(CVHI)的相关性.方法 本研究为横断面研究,选取2023年1-7月在新疆医科大学第一附属医院健康管理中心参加健康体检的1 636例体检人员为研究对象.收集一般资料,完成相关体格检查和实验室检查.根据CVHI积分值的最佳截断点(75分)分为CVHI正常组和CVHI异常组,采用Logistic回归分析探讨影响CVHI积分值的因素,受试者工作特征(ROC)曲线下面积(AUC)评估CMI对CVHI积分值的预测价值.结果 在1 636例体检人员中,使用脑血管功能检测仪筛检出脑卒中风险高危人群419例(25.6%).CVHI正常组与异常组在年龄、性别、高血压、糖尿病、血脂异常、运动缺乏等方面比较,差异有统计学意义(P均<0.05).CVHI异常组的收缩压、舒张压、体质指数、腰围、腰臀比、腰高比、总胆固醇、甘油三酯、空腹血糖、尿酸、肌酐、尿素、心脏代谢指数均高于CVHI正常组(P<0.05).年龄、高血压、糖尿病、收缩压、尿酸、CMI是CVHI积分值的影响因素(P<0.05).CMI预测CVHI积分值<75人群的ROC曲线下面积为0.602.CVHI积分值随着CMI水平的增高而降低(P<0.05),CMI≥0.491 8的CVHI积分值异常率(31.0%)明显高于CMI<0.491 8的CVHI积分值异常率(18.7%)(P<0.05).CVHI积分值与CMI呈负相关(r=-0.143,P<0.05).结论 随着CMI的增加,CVHI积分值逐渐降低,筛选出脑卒中高危人群的风险逐步增加,这对脑卒中高危人群的筛检具有一定的参考价值.
Correlation analysis between cardiometabolic index(CMI)and cerebral hemodynamics in population with health checkups
Objective To explore the correlation between cardiometabolic index(CMI)and cerebrovascular function score value(CVHI)in the health checkup population.Methods This was a cross-sectional study,and 1 636 medical checkups who participated in health checkups at the hospital from January to July 2023 were selected as study subjects.General information was collected and relevant physical and laboratory ex-aminations were completed.According to the optimal cutoff point of CVHI score value(75 points),the patients were divided into CVHI normal group and CVHI abnormal group,and Logistic regression analysis was used to explore the factors affecting the CVHI score.The predictive value of CMI for CVHI score val-ues was assessed using the area under the curve(AUC)of the subjects'work characteristics(ROC).Re-sults Among 1 636 medical check-ups,419(25.6%)cases of high-risk groups for stroke risk were screened using cerebrovascular function test.The differences in risk factors such as age,gender,hyperten-sion,diabetes mellitus and lack of dyslipidemia and exercise between normal CVHI group and abnormal CVHI group(all P<0.05),and the systolic blood pressure,diastolic blood pressure,body mass index,waist circumference,waist-to-hip ratio,waist-to-height ratio,total cholesterol,triglycerides,fasting glu-cose,uric acid,creatinine,urea and cardiometabolic index of abnormal CVHI group were significantly higher than those of normal group(P<0.05).Age,hypertension,diabetes,systolic blood pressure,uric acid and CMI were the influencing factors of CVHI score(P<0.05).The area under the ROC curve of people whose CVHI score was less than 75 predicted by CMI was 0.602.The CVHI score was decreased with the increase of CMI level(P<0.05).The abnormal rate of CVHI score with CMI≥0.491 8(31.0%)was significantly higher than that with CMI<0.491 8(18.7%)(P<0.05).CVHI score was negatively correlated with CMI(r=-0.143,P<0.05).Conclusion With the increasing of CMI,the CVHI inte-gral value was gradually decreasing.The risk of screening out the high-risk group of stroke gradually was increased,which was of some reference value for the screening of high-risk group of stroke.

high risk population for strokecardiometabolic indexcerebrovascular function score value

朱菲丽、刘冬霞、王育珊

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新疆医科大学第一附属医院医学整形美容中心,乌鲁木齐 830054

新疆医科大学护理学院,乌鲁木齐 830017

新疆医科大学第一附属医院健康管理中心,乌鲁木齐 830054

脑卒中高危人群 心脏代谢指数 脑血管功能积分值

中华医学会健康管理学分会博士联盟课题项目

2020BSLM16

2024

新疆医科大学学报
新疆医科大学

新疆医科大学学报

CSTPCD
影响因子:0.76
ISSN:1009-5551
年,卷(期):2024.47(2)
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