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老年人颈动脉粥样硬化斑块形成与血管危险因素的相关性分析
引用本文:王婷,吴卫平.老年人颈动脉粥样硬化斑块形成与血管危险因素的相关性分析[J].解放军保健医学杂志,2011(2).
作者姓名:王婷  吴卫平
作者单位:解放军总医院南楼临床部神经内科;
摘    要:目的探讨老年人颈动脉粥样硬化斑块形成与血管危险因素的相关性。方法选择在我院行颈动脉超声检查的老年患者共305例,根据超声检查结果分为斑块组(212例)和对照组(93例)。每例患者均记录有无高血压、糖尿病史,测量空腹血糖、糖化血红蛋白、总胆固醇、三酰甘油、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇及尿酸等,进行统计学分析。结果单因素分析显示,两组间高血压病史(62.26vs37.63)、糖尿病病史(52.83vs39.78)、血尿酸(329.958±118.682)μmol/Lvs(265.270±137.118)μmol/L]、收缩压(142.028±17.390)mmHgvs(135.467±15.823)mmHg]、脉压(63.514±12.993)mmHgvs(58.511±11.217)mmHg)]、年龄(71.854±6.037)岁vs(68.967±5.767)岁]差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄、高血压及血尿酸与颈动脉粥样硬化斑块形成相关(P<0.05)。结论年龄、高血压及高血尿酸水平可能是颈动脉硬化斑块形成的独立危险因素。

关 键 词:动脉硬化  颈动脉  危险因素  尿酸  

Association between vascular risk factors and carotid plaque in the elderly
WANG Ting,WU Wei-ping.Association between vascular risk factors and carotid plaque in the elderly[J].Journal Of Health Care And Medicine in Chinese Pla,2011(2).
Authors:WANG Ting  WU Wei-ping
Institution:WANG Ting,WU Wei-ping(Department of Geriatric Neurology,PLA General Hospital,Beijing 100853,China)
Abstract:Objective To investigate the vascular risk factors related to the carotid plaque in the elderly.Methods Three hundred and five cases were divided into carotid plaque group and control group by the results of carotid ultrasonography.Patients of the two groups were compared in the level of some possible risk factors including:hypertension,diabetes,serum lipids,uric acid,etc.Further multivariate regression analysis was performed to select the risk factors for carotid plaque.Results The mean age,The serum level...
Keywords:Carotid  Atherosclerosis  Risk factor  Uric acid  
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