乌鲁木齐、伊犁两地区汉族心血管衰老规律及其差异性研究
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(1.新疆医科大学附属中医医院,新疆乌鲁木齐市 830000;2.新疆医科大学第一附属医院昌吉分院, 新疆昌吉市 831100;3.新疆伊犁州中医医院,新疆伊宁市 835000)

作者简介:

马源源,硕士,住院医师,研究方向为中西医结合心身疾病临床研究,E-mail为mayuanyuan_8534@qq.com。通信作者李鹏,博士,主任医师,教授,博士研究生导师,研究方向为中医及中西医结合心血管病临床与基础研究,E-mail为doctorlitcm@yeah.net。

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国家自然科学基金资助项目(81260517)


Study on the regularity and difference of cardiovascular aging of Han nationality in Urumqi and Yili
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1.The Affiliated Hospital of Traditional Chinese Medicine, Xinjiang Medical University, Urumqi, Xinjiang 830000,China;2.Changji Branch of the First Affiliated Hospital of Xinjiang Medical University, Changji, Xinjiang 831100, China;3.Xinjiang Yili Prefecture Traditional Chinese Medicine Hospital, Yining, Xinjiang 835000, China)

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    摘要:

    目的 探讨乌鲁木齐、伊犁两地区汉族心血管衰老规律及其差异。方法 从乌鲁木齐、伊犁两地区共筛选474例自我评价健康的汉族居民,其中乌鲁木齐314例,伊犁160例。采用现场调查、实验室检测、心脏彩超检查相结合的方法,比较乌鲁木齐、伊犁两地区汉族心血管衰老规律及其差异。结果 乌鲁木齐、伊犁两地区汉族心血管衰老相关指标中收缩压、脉压、脉压指数、尿素氮、肌酐、胱抑素C、升主动脉内径、左心房前后径、左心室舒张期末内径、左心室收缩期末内径、右心房内径、右心室内径、肺动脉内径指标均随增龄呈上升趋势,而血浆白蛋白、左心室射血分数均随增龄呈下降趋势,其中可作为评价心血管衰老的标志物有:收缩压、脉压、尿素氮、胱抑素C、血浆白蛋白、左心房前后径、左心室舒张期末内径、左心室收缩期末内径、右心室内径、左心室射血分数。相同年龄组不同地区间比较发现:30~44岁组和45~59岁组两地区汉族心血管衰老进程均随增龄进展,乌鲁木齐较伊犁进展更快;60~74岁组两地区汉族心血管衰老进程均较前两个年龄组加速,伊犁较乌鲁木齐进展更快;≥75岁组两地区汉族心血管衰老随增龄进展,再次表现为乌鲁木齐较伊犁进展更快。结论 随着年龄增长,乌鲁木齐、伊犁两地区健康汉族居民心血管衰老进程并非恒速,4个年龄组中60~74岁组两地区汉族心血管衰老进程最快,60岁可能是心血管衰老加速的阈值拐点。

    Abstract:

    Aim To explore the regularity and difference of cardiovascular aging of Han nationality in Urumqi and Yili. Methods A total of 474 Han residents with self-rated health were selected from Urumqi and Yili, including 314 in Urumqi and 160 in Yili. The rules and differences of cardiovascular aging of Han nationality in Urumqi and Yili were compared by means of on-the-spot investigation, laboratory detection and cardiac color ultrasound examination. Results Among the cardiovascular aging related indexes of Han nationality in Urumqi and Yili, systolic blood pressure (SBP), pulse pressure (PP), pulse pressure index (PPI), blood urea nitrogen (BUN), serum creatinine (SCr), cystatin C (CysC), ascending aorta diameter (AAD), left atrial longitudinal diameter (LAD), left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter (LVESD), right atrial diameter (RAD), right ventricular diameter (RVD) and pulmonary arterial diameter (PAD) increased with age. However, the indexes of plasma albumin (ALB) and left ventricular ejection fraction (LVEF) decreased with age, the indexes that can be used as markers of cardiovascular aging were SBP, PP, BUN, CysC, ALB, LAD, LVEDD, LVESD, RVD, LVEF. Comparison between different regions in the same age group:the progression of cardiovascular aging increased with age in the 30~44 years old group and the 45~59 years old group of the Han nationality in the two regions, and Urumqi progressed faster than Yili; The cardiovascular aging process of Han nationality was faster in 60~74 years old group than that of the former two age groups, and the progress in Yili was faster than that in Urumqi. In the group of ≥75 years old, the progression of cardiovascular aging in Han nationality was faster in Urumqi than in Yili. Conclusion With the increase of age, the cardiovascular aging process of healthy Han residents is not constant in Urumqi and Yili, among the four age groups, the cardiovascular aging process of Han nationality is the fastest in 60~74 years old group, and 60 years old may be the threshold inflection point of accelerated cardiovascular aging.

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马源源,彭雪梅,荆晶,赵艳,杨梅,奴尔黑扎·巴哈夏别克,李欣彤,李鹏.乌鲁木齐、伊犁两地区汉族心血管衰老规律及其差异性研究[J].中国动脉硬化杂志,2021,29(7):585~589, 610.

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  • 收稿日期:2020-06-08
  • 最后修改日期:2020-08-06
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  • 在线发布日期: 2021-06-28