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中国人(北方人群)肱踝脉搏波传导速度参考值。

Reference values of brachial-ankle pulse wave velocity for Northern Chinese.

机构信息

Department of Cardiology, Beijing Army General Hospital, Beijing 100700, China.

出版信息

Chin Med J (Engl). 2009 Sep 20;122(18):2103-6.

Abstract

BACKGROUND

Brachial-ankle pulse wave velocity (baPWV) is a reliable method for measuring arterial elasticity, but the absence of reference value for baPWV has limited its wide use. We conducted an epidemical study in north China to investigate the reference value of baPWV for Chinese people and its influential factors.

METHODS

A total of 974 identified healthy subjects were recruited in this study. The values of baPWV were evaluated noninvasively with an automatic device.

RESULTS

For healthy population, the mean value of baPWV was higher for male (P < 0.001). Multiple regression analysis demonstrated that both age and systolic blood pressure were positively associated with baPWV for male and female (P < 0.001). BaPWV value was higher in male than in female in younger group (< 50 years) but not in older group (P <or= 0.001). The upper limits of baPWV were 1394/1264 cm/s, 1435/1361 cm/s, 1552/1433 cm/s, 1597/1609 cm/s and 1798/1915 cm/s for healthy male/female at 10 years interval (age range 20 - 70 years).

CONCLUSIONS

Aging is the most important reason of arterial stiffness, but the effect of age on baPWV augmentation is greater for healthy female than their male counterpart. The reference values of baPWV by sex and age are very useful for clinical and preventive medicine.

摘要

背景

肱踝脉搏波速度(baPWV)是测量动脉弹性的可靠方法,但由于缺乏 baPWV 的参考值,限制了其广泛应用。我们在中国北方进行了一项流行病学研究,旨在探讨中国人 baPWV 的参考值及其影响因素。

方法

本研究共纳入 974 名健康受试者。使用自动设备无创性评估 baPWV 值。

结果

对于健康人群,baPWV 的平均值男性更高(P<0.001)。多元回归分析表明,年龄和收缩压均与男性和女性的 baPWV 呈正相关(P<0.001)。在年轻组(<50 岁),男性的 baPWV 值高于女性,但在老年组(P≥0.001)则不然。健康男性和女性的 baPWV 上限值分别为 1394/1264cm/s、1435/1361cm/s、1552/1433cm/s、1597/1609cm/s 和 1798/1915cm/s,年龄间隔 10 年(20-70 岁)。

结论

衰老是动脉僵硬最重要的原因,但年龄对健康女性 baPWV 增加的影响大于男性。按性别和年龄划分的 baPWV 参考值对临床和预防医学非常有用。

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