摘要
目的探讨健康体检者颈动脉斑块检出情况及其危险因素。方法回顾性分析2021年1月至6月进行常规体检的260例健康者的临床资料,所有入选者均进行常规检查,包括血生化、颈动脉斑块。统计入选者颈动脉斑块检出情况,并根据检查结果将其分为斑块组与非斑块组,统计两组相关资料,包括性别、年龄、体重指数、空腹血糖、吸烟史、糖尿病病史、同型半胱氨酸、高血压病史等,分析颈动脉斑块形成的危险因素。结果260例健康体检者中共有32例检出颈动脉斑块,检出率为12.31%(32/260);斑块组男性、年龄≥60岁、有吸烟史、糖尿病病史、高血压病史占比高于非斑块组,差异有统计学意义(P<0.05);两组体重指数、空腹血糖、同型半胱氨酸对比,差异无统计学意义(P>0.05);logistic回归分析:男性、年龄≥60岁、有吸烟史、糖尿病病史、高血压病史是颈动脉斑块形成的独立危险因素(P<0.05且OR≥1)。结论男性、年龄≥60岁、有吸烟史、糖尿病病史、高血压病史是颈动脉斑块形成的独立危险因素,临床需高度重视,针对性制定干预措施,以减少颈动脉斑块形成。
Objective To investigate the detection of carotid artery plaque and its risk factors in healthy subjects.Methods A retrospective analysis was carried out on the clinical data of 260 healthy patients who underwent routine physical examinations from January to June 2021.All the selected patients underwent routine examinations,including blood biochemistry and carotid plaque.The carotid artery plaque detection status of the selected patients was counted,and they were divided into plaque group and non-plaque group according to the examination results.And then,relevant data,including gender,age,body mass index,fasting blood sugar,history of smoking,history of diabetes,and history of homocysteine and hypertension,etc.,were counted,so as to analyze the risk factors of carotid plaque formation.Results A total of 32 cases of carotid plaque were detected in 260 healthy subjects,and the detection rate was 12.31%(32/260);the proportion of male,aged≥60 years,and histories of smoking,diabetes,and hypertension in the plaque group was higher than that of the non-plaque group,and the difference was statistically significant(P<0.05);there was no statistically significant difference of body mass index,fasting blood glucose,and homocysteine among the two groups(P>0.05);logistic regression analysis showed that male,aged≥60 years,and history of smoking,history of diabetes,and history of hypertension were independent risk factors for carotid plaque formation(P<0.05 and OR≥1).Conclusion Male,age≥60 years,history of smoking,history of diabetes,and history of hypertension are independent risk factors for carotid plaque formation.Great attention should be paid to targeted interventions to reduce carotid plaque formation in clinical practice.
作者
肖贵梅
陈琳琳
刘芳
XIAO Guimei;CHEN Linlin;LIU Fang(.Department of Physical Examination,Ganzhou People's Hospital,Ganzhou 341000,Jiangxi,China;Department of Ultrasound,Ganzhou People's Hospital,Ganzhou 341000,Jiangxi,China)
出处
《右江医学》
2022年第2期145-148,共4页
Chinese Youjiang Medical Journal
关键词
健康体检者
颈动脉斑块
检出情况
危险因素
physical examination person
carotid plaque
detection condition
risk factors
作者简介
肖贵梅,女,主治医师,医学学士,研究方向:临床医学。E-mail:xgx12x@163.com。
