臂踝脉搏波速度和僵硬指数的临床评估:高甘油三酯血症对动脉僵硬的影响

An Zhao, Yinbao Chong, Hangmei Zhong, Jieshi Ma, Huan Zhang, Z. Luo, Gaosen Li, Xiaomin Luo
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引用次数: 0

摘要

目的:作为动脉硬度的无创测量方法,肱-踝脉波速度(baPWV)和僵硬指数(SI)已经使用了十多年,在临床中得到了广泛的应用。然而,在不同部位检测到的两种动脉硬度测量的关系,但定义相同,尚未对原因和情况进行充分调查。本研究的目的是评估baPWV和SI之间的关系,用于评估临床上高甘油三酯血症(hyperTG)对动脉僵硬的影响。方法:对61例被试(男39例,女22例)进行生化指标测定。采用baPWV和SI两种参数评价动脉刚度。为了最大限度地减少SI和baPWV比较研究中的不确定性,我们采用光体积脉搏波列(PPG)来准确获取最具代表性的脉冲以计算SI值。结果:BaPWV与SI呈显著相关(r = 0.60, p < 0.01)。高tg组动脉硬度与正常对照组相比有显著性差异。结论:我们的研究结果表明,SI和baPWV都可以作为动脉僵硬度的可靠估计。高tg组动脉僵硬度与正常对照组有显著性差异。采用统计学方法可以有效地改进动脉僵硬度的测量方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Assessment of Brachial-Ankle Pulse Wave Velocity and Stiffness Index: Hypertriglyceridemia Effects on Arterial Stiffness
Objectives: Being the noninvasive measures of arterial stiffness, both brachial-ankle Pulse Wave Velocity (baPWV) and Stiffness Index (SI) had been used for more than ten years and broadly applied in clinical settings. However, the relationship of the two arterial stiffness measures detected at different sites but defined alike has not been fully investigated into the causes and circumstances. The aim of the present study is to assessment the relationship between baPWV and SI applied to evaluate hypertriglyceridemia (hyperTG) effects on arterial stiffness in clinical settings. Methods: A total of 61 (39 males and 22 females) subjects were subjected to biochemistry parameters measurements. Two kinds of parameters – baPWV and SI were used to evaluate the arterial stiffness. Here, in order to minimize the uncertainty in a comparative study of SI and baPWV, photoplethysmography (PPG) wave train was employed to accurately acquire the most representative pulses for calculation of SI value. Results: BaPWV was significantly correlated with SI (r = 0.60, p < 0.01). The arterial stiffness of hyperTG group has a significance difference compared to normal control group. Conclusion: Our findings suggest both SI and baPWV could be a reliable estimator of arterial stiffness. There exists a significance difference of arterial stiffness among hyperTG group and normal control group. And the use of statistical method could be beneficial in improving effectively the measurement of arterial stiffness.
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