门诊体检成人晕针与血糖和血压及BMI的相关性

目的　探讨门诊体检成人晕针与血糖、血压及体质量指数（BMI）的相关性。方法　采用横断面调查研究方法，连续纳入中山大学附属第三医院2021年7月至2022年6月门诊体检成人6 438例作为研究对象，其中男3 421例，女3 017例，年龄（43.61±11.52）岁。根据是否晕针分为晕针组与未晕针组；调查年龄、性别、BMI；根据体检成人的BMI，分为低体质量、体质量正常、肥胖前期、肥胖类别；抽血前均采用电子血压计测量收缩压与舒张压，并分为低血压、血压正常及高血压类别；抽血后根据血糖化验结果分为低血糖、血糖正常、血糖受损及高血糖类别。对晕针的相关因素采用单因素分析及二元logistic回归分析，采用Spearman相关性分析门诊体检成人血糖、血压及BMI与晕针相关性。结果　单因素分析显示不同性别、BMI、空腹血糖（FBG）及血压因子下晕针发生率差异均有统计学意义（均P<0.05）；Spearman相关性分析，晕针与血糖（r=-0.246）、血压（r=-0.260）有弱负相关性，与BMI有弱的正相关性（r=0.184），均P<0.001；二元logistic回归分析显示肥胖前期（OR=1.343，95%CI 1.089～1.656）、肥胖（OR=1.730，95%CI 1.107～2.703）、低血糖（OR=2.232，95%CI 1.268～3.960）、低血压（OR=1.520，95%CI 1.084～2.131）是晕针的危险性因子，均P<0.05。结论　低血糖、低血压、肥胖前期、肥胖与门诊体检成人晕针密切相关，需加强该类特征体检成人晕针的预防。

Correlations of halo needle with blood glucose,blood pressure,and BMI in outpatient physical examination adults

Objective　To explore the correlations of halo needle with blood sugar, blood pressure, and body mass index (BMI) in outpatient physical examination adults. Methods　This was a cross-sectional survey method. A total of 6 438 adults taking outpatient physical examination at The Third Affiliated Hospital of Sun Yat-Sen University from July 2021 to June 2022 were continuously included as the research objects. Among them, there were 3 421 males and 3 017 females, with an age of (43.61±11.52). They were divided into a halo needle group and a no halo needle group. The age, gender, and BMI were investigated. According to their BMI, they were divided into the low body weight, normal weight, pre-obesity, and obesity categories. The systolic blood pressure and diastolic blood pressure were measured by electronic sphygmomanometer before blood drawing, and they were divided into the hypotension, normotensive, and hypertensive categories. According to blood glucose test results, they were divided into the hypoglycemia, normoglycemia, impaired blood sugar, and hyperglycemia categories. Univariate analysis and binary logistic regression analysis were used to analyze the related factors of halo needle, and Spearman correlation was used to analyze the correlation between blood glucose, blood pressure, and BMI in the outpatient physical examination adults and halo needle. Results　Univariate analysis showed that there were statistical differences in the incidences of halo needle in different gender, BMI, fasting blood glucose (FBG), and blood pressure factors (all P<0.05). Spearman correlation analysis showed that halo needle had weak negative correlations with blood glucose (r=-0.246) and blood pressure (r=-0.260), and a weak positive correlation with BMI (r=0.184), all P<0.001. Binary logistic regression analysis showed that pre-obesity (OR=1.343, 95%CI 1.089-1.656), obesity (OR=1.730, 95%CI 1.107-2.703), hypoglycemia (OR=2.232, 95%CI 1.268-3.960), and hypotension (OR=1.520, 95%CI 1.084-2.131) were the risk factors for halo needle, all P<0.05. Conclusions Hypoglycemia, hypotension, pre-obesity, and obesity are closely related to halo needle in outpatient physical examination. It is necessary to strengthen the prevention of halo needle in adults with such characteristics.