超声IMT及斑块指标与心血管疾病主要危险因素的相关性

doi:10.7517/issn.1674-0475.190824

摘要/Abstract

摘要： 本文对颈动脉内膜中膜厚度（intima media thickness，IMT）及斑块指标与心血管疾病主要危险因素的相关性进行了探讨。选择2014年1月~2018年12月期间在我院常规体检的160例老年人作为研究对象。根据IMT不同将其分对照组78例、增厚组52例、斑块组30例，对颈动脉IMT及斑块指标与心血管疾病主要危险因素进行相关性分析，结果显示，增厚组和斑块组在男性比例、年龄、收缩压、甘油三酯、餐后2 h血糖水平方面均显著高于对照组，差异有统计学意义（P<0.05）；多因素Loglsitlc分析显示，IMT与男性比例、年龄、收缩压、甘油三酯、餐后2 h血糖水平呈明显正相关性，差异有统计学意义（P<0.05）。证实颈动脉IMT水平及斑块钙化情况与心血管病变的危险因素男性比例、年龄、收缩压、甘油三酯、餐后2 h血糖水平等有显著相关性，在临床上可预测心血管事件的发生。

关键词: 颈动脉, 内膜中膜厚度, 心血管疾病, 心血管事件

Abstract: This article discusses the correlation between carotid intima media thickness (IMT) and plaque indicators and major risk factors for cardiovascular disease. 160 elderly people who were routinely examined in our hospital from January 2014 to December 2018 were selected as subjects. According to different IMT, they were divided into 78 cases in the control group, 52 in the thickening group and 30 in the plaque group. Correlation analysis between carotid IMT and plaque indicators and major risk factors for cardiovascular disease. The results showed that the proportion of men, age, systolic blood pressure, triglycerides, and postprandial 2 h blood glucose level in the thickening group and the plaque group were significantly higher than those in the control group (P<0.05). Multivariate Loglsitlc analysis showed a significant positive correlation between IMT and male ratio, age, systolic blood pressure, triglyceride, and postprandial 2 h blood glucose levels (P<0.05). This article confirms that carotid IMT levels and plaque calcification are significantly associated with male risk factors for cardiovascular disease, male ratio, age, systolic blood pressure, triglycerides, and postprandial 2 h blood glucose level.Clinically, cardiovascular events can be predicted.

Key words: carotid artery, intima-media thickness, cardiovascular disease, cardiovascular events

中图分类号:

梁志承, 赵强, 李梦雪. 超声IMT及斑块指标与心血管疾病主要危险因素的相关性[J]. 影像科学与光化学, 2020, 38(2): 231-235.

LIANG Zhicheng, ZHAO Qiang, LI Mengxue. Correlation between Ultrasound IMT and Plaque Indicators and Major Risk Factors for Cardiovascular Disease[J]. Imaging Science and Photochemistry, 2020, 38(2): 231-235.

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