累积甘油三酯暴露与臂踝脉搏波传导速度的关联
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(1.开滦总医院肿瘤科,河北省唐山市 063000;3.开滦总医院心内科, 河北省唐山市 063000;2.唐山市同济医院,河北省唐山市 063000)

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杨慧,硕士,副主任医师,研究方向为心血管内科,E-mail为12687978@qq.com。

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Effect of cumulative triglyceride exposure on brachial-ankle pulse wave velocity
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1. Department of Oncology, ;3. Department of Cardiology, Kailuan General Hospital, Tangshan, Hebei 063000, China;2. Tangshan Tongji Hospital, Tangshan, Hebei 063000, China)

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    摘要:

    目的 探讨累积甘油三酯暴露(cumTG)与臂踝脉搏波传导速度(BaPWV)的关系。 方法 选择开滦研究人群中卒中队列、老年人群队列和妊娠高血压队列23499例组成观察人群,最终纳入研究队列的为14662例。根据cumTG将研究对象进行四分位分组。采用偏相关分析cumTG与BaPWV的相关性,多因素线性回归和多因素Logistic回归分析cumTG对BaPWV的影响。 结果 随着cumTG的增加,平均BaPWV水平和BaPWV≥1400 cm/s的检出率均呈上升趋势。偏相关分析结果表明,cumTG与BaPWV呈正相关(r=0.512,P<0.05);校正了年龄、性别后cumTG与BaPWV仍呈正相关(r=0.322,P<0.05)。多因素线性回归分析显示,cumTG每增加1 mmol/L·year,BaPWV增加4.507 cm/s。Logistic回归分析表明,校正了其他混杂因素后,与cumTG第一分位组相比,cumTG第二分位组、第三分位组、第四分位组均是BaPWV≥1400 cm/s的危险因素,OR值(95%CI)分别为1.667(1.505~1.845)、2.384(2.111~2.691)、3.287(2.887~3.741)。 结论 cumTG与BaPWV呈正相关关系。cumTG是脉搏波传导速度增加的危险因素。

    Abstract:

    Aim To explore the relationship between cumulative triglyceride exposure (cumTG) and ankle-brachial pulse wave velocity(BaPWV). Methods A total of 23499 participants was selected from Kailuan Study stroke cohort, hypertensive population and elderly population cohort to compose observation population, and finally 14662 cases were included in the study cohort. According to cumTG, the research subjects were divided into four groups. The correlation between cumTG and BaPWV was analyzed by partial correlation analysis. Multivariate linear regression and multivariate Logistic regression were used to analyze the effects of cumTG on BaPWV. Results With the increase of cumTG, the average BaPWV level and the detection rate of BaPWV≥ 1400 cm/s showed an increasing trend. The correlation analysis showed that cumTG was positively correlated with BaPWV (r=0.512, P<0.05), and cumTG was positively correlated with BaPWV (r=0.322, P<0.05) after adjustment for age and sex. Multivariate linear regression analysis showed an increase in BaPWV of 4.507 cm/s for each increase in cumTG. Logistic regression analysis showed that the cumTG second quartile, the third quartile, and the fourth quartile were significantly associated with BaPWV≥1400 cm/s compared with the cumTG first quartile after adjustment for other confounders (95%CI) which were 1.667(1.505~1.845), 2.384 (2.111~2.691) and 3.287(2.887~3.741), respectively. Conclusion cumTG is positively correlated with BaPWV.cumTG is a risk factor for the increase of pulse wave velocity.

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杨慧,葛明,安利杰,吴寿岭.累积甘油三酯暴露与臂踝脉搏波传导速度的关联[J].中国动脉硬化杂志,2017,25(6):618~622, 634.

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  • 收稿日期:2017-02-28
  • 最后修改日期:2017-04-16
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  • 在线发布日期: 2017-06-05