PWV和ABI测定在体质检测中应用.docVIP

PWV和ABI测定在体质检测中应用 　　摘要:探讨脉搏波传导速度(PWV)和踝臂血压指数(ABI)应用于体质检测的效果和适用性。选取3 348名年龄为20～89岁的普通市民,同时测量肱动脉-踝动脉脉搏波传导速度(baPWV)、ABI以及身高、体重、体重指数(BMI)等指标。结果发现baPWV随年龄增长而逐渐增大,女子的baPWV明显低于男子;ABI异常(ABI1.3)的占3%左右;baPWV与BMI成正相关(r=0.19~0.20,P0.001)。结论:在普通人群中进行PWV和ABI普查,可以发现血管壁的硬度及弹性改变,早期控制并结合运动干预,对心血管疾病预防、诊治及亚健康的改善极具实用性,十分适合在国民体质检测中应用和推广。 　　关键词:运动医学;脉搏波传导速度;踝臂血压指数;体质检测;动脉硬化;运动干预 　　中图分类号:G804.49文献标识码:A文章编号:1006-7116(2009)11-0096-04 　　 　　Application of the measurement of PWV and ABI in physical checkup 　　ZHANG Yi-hong 　　(Deparment of Sports Medicine,Chengdu Sport University,Chengdu 610041,China) 　　 　　Abstract: The author probed into the effects and applicability of the application of pulse wave conduction velocity (PWV) as well as malleolar and brachial blood pressure index (ABI) in physical checkup. By selecting 3,348 ordinary citizens at the age of 20-89 to measure such indexes as brachial artery to malleolar artery pulse wave conduction velocity (baPWV), ABI, height, weight, body weigh index (BWI), the author revealed the following findings: the baPWV is gradually increased as the age increases; female’s baPWV is significantly lower than male’s; approximately 3% of the citizens had an abnormal ABI (ABI 1.3); the baPWV is positively correlative with the BWI (r=0.19~0.20,P0.001). Conclusions: carrying out a PWV and ABI survey on groups of ordinary people can discover changes of the hardness and elasticity of blood vessel walls; it is extremely practical in the prevention and diagnosis of cardiovascular diseases as well as the improvement of sub healthy conditions via early control coupled with exercise intervention, and very suitable for being applied and popularized in citizen physical checkup. 　　Key words: sports medicine;pulse wave conduction velocity;malleolar and brachial blood pressure index;physical checkup;arteriosclerosis;exercise intervention 　　 　　近年来,各级国民体质监测中心在按照《国民体质测定标准》的指标和方法对国民的体质状况检测、评价以及监测的同时,也采用了一些新的指标和方法,如身体成分、骨密度、动脉硬化(动脉机能)、亚健康等等,这些无创、有效、便捷、实用的方法丰富了体质检测与评