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目的探讨踝/臂血压指数(ABI)与传统心血管疾病危险因素间聚集关系。方法选取广西地区2005人作为研究人群。采用t检验比较高血压、高TC、高血糖、低HDL-C、超重和肥胖、吸烟者与相应正常人群ABI值的差异。采用Logistic回归(后剔除法,进入P值0.05,移出P值0.10)分析ABI与年龄、性别、血压、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、体质指数(BMI)、空腹血糖(FPG)、吸烟等因素间的关系。结果该组人群中超重和肥胖、低HDL-C及吸烟者与相应正常人群间ABI值差别有统计学意义(P<0.05),高血压、高TC、高血糖者与相应正常人群间ABI值差别无统计学意义(P>0.05)。Logistic回归分析表明性别(OR=3.874,95%CI:1.920～7.814)、高血压(OR=1.550,95%CI:1.013～2.372)、吸烟(OR=2.018,95%CI:0.930～4.376)为低ABI(ABI<0.9)的主要危险因素;男性以年龄(OR=2.125,95%CI:0.951～4.752)、吸烟(OR=2.332,95%CI:0.981～5.545)为低ABI的主要危险因素;女性以高血压(OR=1.595,95%CI:0.962～2.643)为其危险因素。60岁以上组人群的性别(OR=4.625,95%CI:1.803～11.867)、高血压(OR=2.085,95%CI:1.205～3.608)、吸烟(OR=3.617,95%CI:1.362～9.607)为其危险因素;其中,男性以吸烟(OR=6.817,95%CI:1.558～29.829)为主要危险因素,女性以高血压(OR=2.681,95%CI:1.345～5.342)为主要危险因素。60岁以下组人群的性别(OR=3.636,95%CI:1.721～7.681)为其主要危险因素,其中男女性均无独立危险因素。结论ABI与传统心血管疾病危险因素间存在聚集关系。女性、高血压、吸烟增加低ABI的危险。
Objective To investigate the relationship between ankle / arm blood pressure index (ABI) and traditional cardiovascular risk factors. Methods Select 2005 people in Guangxi as research population. T-test was used to compare the ABI values of hypertension, high TC, hyperglycemia, low HDL-C, overweight and obesity, smokers and the corresponding normal population. The relationship between ABI and age, gender, blood pressure, total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), body mass index (BMI) Fasting blood glucose (FPG), smoking and other factors. Results There were significant differences in ABI between overweight and obesity, low HDL-C and smokers and their corresponding normal subjects (P <0.05). The ABI values of hypertension, high TC, hyperglycemia and corresponding normal subjects The difference was not statistically significant (P> 0.05). Logistic regression analysis showed that sex (OR = 3.874, 95% CI: 1.920-7.814), hypertension (OR = 1.550,95% CI: 1.013-2.372) and smoking (OR = 2.125, 95% CI: 0.951-4.752) and smoking (OR = 2.332, 95% CI: 0.981-5.545) were the major risk factors for low ABI in men with low ABI (ABI <0.9) ; Women with high blood pressure (OR = 1.595,95% CI: 0.962 ~ 2.643) as its risk factors. (OR = 4.625, 95% CI: 1.803-11.867), hypertension (OR = 2.085, 95% CI: 1.205-3.608), smoking (OR = 3.617, 95% CI: 1.362 ~ 9.607 (OR = 6.817,95% CI: 1.558-29.829) were the main risk factors in males. The main risk factors were hypertension (OR = 2.681, 95% CI: 1.345-5.342) . The gender (OR = 3.636, 95% CI: 1.721 ~ 7.681) of the population under the age of 60 was the main risk factor, of which there was no independent risk factor for both sexes. Conclusion ABI and traditional cardiovascular risk factors exist between the aggregation. Women, high blood pressure, smoking increase the risk of low ABI.