Relationship between properties of carotid plaques and common risk factors among community high-risk population

Fei-Yan Li, P. Qi, Y. Zhuang, Yiwen Chen, Hejin Lv, Meixing Huang
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Abstract

Objective To investigate the relationship between properties of carotid plaques and common risk factors among community high-risk population.Methods From January 2008 to August 2010,the data of 235 subjects from atherosclerotic high-risk population in local communities were collected.The carotid plaques of the subjects were confirmed by color ultrasound.Univariate and multivariate analyses were used to identify the relationship between the properties of carotid plaques (flat,soft,hard and ulcer plaque) and the common risk factors.Results Univariate analyses showed that subjects over 80 years old had much more ulcer plaques than younger ones (P=0.042); females and hypertensive subjects had significantly more soft plaques than males and non-hypertensive ones separately (P=0.000 and P=0.027,respectively).Multivariate analyses discovered that age (older) and systolic blood pressure (SBP) were the key risk factors influencing ulcer plaque formation (ORase=1.043,P=0.030 and ORSBP=1.026,P=0.024,respectively); female and SBP were the protective factors influencing the soft plaque formation (ORsex=0.321,P=0.000 and ORSBP=0.970,P=0.006,respectively).Conclusion Female and hypertensive patients have less soft carotid plaques,and those over 80 years old have more ulcer plaques. Key words: Carotid plaque;  Risk factor;  High-risk population
社区高危人群颈动脉斑块特征与常见危险因素的关系
目的探讨社区高危人群颈动脉斑块特征与常见危险因素的关系。方法2008年1月~ 2010年8月,收集当地社区动脉粥样硬化高危人群235例的资料。彩色超声确认受试者颈动脉斑块。采用单因素和多因素分析来确定颈动脉斑块的性质(扁平、软、硬和溃疡斑块)与常见危险因素之间的关系。结果单因素分析显示,80岁以上受试者溃疡斑块明显多于年轻受试者(P=0.042);女性和高血压患者的软斑块明显多于男性和非高血压患者(P=0.000和P=0.027)。多因素分析发现,年龄(较大)和收缩压(SBP)是影响溃疡斑块形成的关键危险因素(ORase=1.043,P=0.030, ORSBP=1.026,P=0.024);女性和收缩压是影响软斑块形成的保护性因素(ORsex=0.321,P=0.000, ORSBP=0.970,P=0.006)。结论女性及高血压患者颈动脉软斑块较少,80岁以上患者颈动脉溃疡斑块较多。关键词:颈动脉斑块;风险因素;高危人群
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