血脂水平对血压正常高值人群脉搏波传导速度的影响

王林; 帅平; 刘玉萍; 程幼夫; 杨华; 李婷欣; 龚立荣; 任姣姣; 王洪佳

Abstract

王林,帅平,刘玉萍,程幼夫,杨华,李婷欣,龚立荣,任姣姣,王洪佳.血脂水平对血压正常高值人群脉搏波传导速度的影响[J].Chinese journal of Epidemiology,2014,35(9):1058-1061

血脂水平对血压正常高值人群脉搏波传导速度的影响

Effect of blood lipid on the change of brachial-ankle pulse wave velocity among prehypertensive population

Received:July 15, 2014

DOI：10.3760/cma.j.issn.0254-6450.2014.09.020

KeyWord: 血脂异常脉搏波传导速度脂蛋白比值血压正常高值动脉僵硬度

English Key Word: Abnormal blood lipid Pulse wave velocity Lipoprotein ration Prehypertension Arterial stiffness

FundProject:四川省卫生厅科研项目（090438）

Author Name	Affiliation	E-mail
Wang Lin	Center of Health Physical Examination and Health Management, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu 610072, China
Shuai Ping	Center of Health Physical Examination and Health Management, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu 610072, China	shuaiping012@163.com
Liu Yuping	Center of Health Physical Examination and Health Management, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu 610072, China
Cheng Youfu	Center of Health Physical Examination and Health Management, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu 610072, China
Yang Hua	Center of Health Physical Examination and Health Management, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu 610072, China
Li Tingxin	Center of Health Physical Examination and Health Management, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu 610072, China
Gong Lirong	Center of Health Physical Examination and Health Management, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu 610072, China
Ren Jiaojiao	Center of Health Physical Examination and Health Management, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu 610072, China
Wang Hongjia	Center of Health Physical Examination and Health Management, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu 610072, China

Hits: 3797

Download times: 1887

Abstract:

目的探讨血脂和脂蛋白比值对血压正常高值人群脉搏波传导速度的影响。方法选择11 611名血压正常的健康体检者，分为正常血压值组（血压<120/80 mmHg）和血压正常高值组（血压为120～139/80～89 mmHg）。应用全自动动脉硬化仪测定入选者肱踝脉搏波传导速度（baPWV），同时测量身高、体重、FPG、TC、TG、HDL-C、LDL-C等指标，并计算HDL-C和TC/HDL-C比值、LDL-C/HDL-C比值。分析血脂和脂蛋白比值异常情况对不同血压组脉搏波传导速度的影响。结果血压正常高值组的baPWV异常率均高于血压正常组。血压正常组中除HDL-C外，TC、TG、LDL-C、TC/HDL-C、 LDL-C/HDL-C的升高均使baPWV的异常率显著增加（P<0.001）。血压正常高值组中，TC和LDL-C的升高使baPWV的异常率显著增加（P<0.001）。多元logistic回归分析显示，除年龄、BMI、FPG外， TC/HDL-C异常是血压正常组动脉僵硬度增高的独立危险因子（OR=1.732），TG异常是血压正常高值组的独立危险因素（OR=1.301）。结论在正常血压不同水平下，血脂和脂蛋白比值的异常是动脉僵硬度增高的独立危险因素。

English Abstract:

Objective To explore the effect of blood lipid and lipoprotein ratios on the change of brachial-ankle pulse wave velocity(baPWV) among prehypertensive subjects. Methods 11 611 subjects with normal blood pressure(BP) were divided into two groups,which was one with optimal blood pressure(BP<120/80 mmHg) and the other with prehypertension(BP:120-139/80-89 mmHg). Height,weight,baPWV,fasting blood-glucose,TC,TG,LDL-C and HDL-C were detected. Results The abnormal rate of baPWV in prehypertension group was obviously higher than that in the optimal blood pressure group. For optimal blood pressure group,the abnormality of TG,TC,LDL-C,TC/HDL-C as well as LDL-C/HDL-C,caused the increase of baPWV significantly (P<0.001). For prehypertensive group,the abnormality of TC and LDL-C caused the significant increase of baPWV(P<0.001). Results from logistic regression analysis showed that except for age,BMI and fasting blood-glucose,TC/HDL-C increasing was the independent risk factor in optimal blood pressure group,while TG increasing was for the prehypertension group. Conclusion With different normal BP level,both abnormality of blood lipid and lipoprotein ratio were the independent risk factors for baPWV increasing.

View Fulltext Html FullText View/Add Comment Download reader