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目的通过1014例踝臂脉搏波传导速度(baPWV)检查结果,探讨影响动脉血管弹性降低的相关因素,并了解左右上下肢血压及两侧baPWV的差异,同时分析当地人群baPWV异常的比例。方法应用日本产欧姆龙/科林VP-1000(BP203RPE-Ⅱ)全自动动脉硬化检测仪,对1014例体检者进行检测、分析其baPWV与血液生化检查等临床资料的关系;并比较两侧baPWV的差别;通过同步测量四肢血压,了解上下肢血压的差异。结果体检人群中动脉硬化潜在危险普遍存在,baPWV异常率57%;收缩压、舒张压、空腹血糖与脉搏波传导速度大小高度相关,发现下肢舒张压并不高于上肢舒张压;与下肢血压高于上肢血压20～40 mm Hg的经典说法不同;两侧baPWV值无明显差异,说明两侧血管弹性减低基本一致。结论 baPWV与收缩压、舒张压、空腹血糖高度相关,它在健康体检中可对防治心血管疾病起到预警作用;下肢舒张压与上肢舒张压比较相差很小,与正常下肢血压高于上肢血压20～40 mm Hg的传统说法稍有不同,其原因可能为检查方法不同;两侧血管弹性减低基本一致。
Objective To investigate the correlation between baPWV and the upper and lower extremity blood pressure and baPWV on both sides of 1014 cases of ankle brachial pulse wave velocity (baPWV) examination, and to analyze the proportion of abnormalities of baPWV in the local population. Methods A total of 1014 subjects were examined with Japanese OMRON / Colin VP-1000 (BP203RPE-Ⅱ) automatic arteriosclerosis detector. The relationship between baPWV and clinical data such as blood biochemistry was analyzed. Differences; Through the simultaneous measurement of limbs blood pressure, blood pressure to understand the difference between the upper and lower limbs. Results The potential risk of atherosclerosis was common in physical examination population, and the abnormal rate of baPWV was 57%. Systolic blood pressure, diastolic blood pressure and fasting blood glucose were highly correlated with the pulse wave velocity and found that diastolic blood pressure of lower extremity was not higher than that of upper extremity diastolic pressure. In the upper limb blood pressure of 20 ~ 40 mm Hg classic different; both sides baPWV value was no significant difference, indicating that both sides of the blood vessel elasticity is basically the same. Conclusions baPWV is highly correlated with systolic blood pressure, diastolic blood pressure and fasting blood glucose. It may play an early warning role in the prevention and treatment of cardiovascular diseases in healthy physical examination. The diastolic blood pressure of lower limbs is slightly different from that of upper limbs, The traditional interpretation of 20 to 40 mm Hg is slightly different, probably due to the different methods of examination; the reduction of both sides of the blood vessels is basically the same.