| 引用本文:张丽1，陈宝鑫1，赵珈艺2，盛雪3，张志军4，贾鸿雁5，李爱辉6，肖建彪7，齐有胜8，张允岭9.脑卒中高危人群腰高比与颈动脉硬化相关性及危险因素分布的横断面研究[J].世界中医药,2021,(13):. |
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| 脑卒中高危人群腰高比与颈动脉硬化相关性及危险因素分布的横断面研究 |
| A Cross-sectional Study of the Relationship between Waist-to-height Ratio and Carotid Atherosclerosis and Risk Factors Distribution in the Population at High Risk of Stroke |
| 投稿时间：2020-02-11 |
| DOI：10.3969/j.issn.1673-7202.2021.13.022 |
| 中文关键词: 腰高比 高危人群 脑卒中 颈动脉硬化 危险因素 横断面研究 向心性肥胖 丰台社区 |
| English Keywords:Waist-to-height ratio High-risk population Stroke Carotid atherosclerosis Risk factors Cross-sectional study Central obesity Fengtai District |
| 基金项目:国家医改重大专项（201407001-8） |
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| 中文摘要: |
| 目的：探讨中风高危人群腰高比（Waist to Height Ratio，WHtR）及其他危险因素与颈动脉粥样硬化（CAS）的关系。方法：选取2013年5月至2016年7月北京市丰台区8个社区卫生服务中心进行横断面研究。筛选9 605例脑卒中高危患者并收集基本信息。CAS的诊断是基于颈动脉斑块的存在和颈动脉内膜中层厚度（cIMT）的增加。结果：对9 605例受试者进行分析，CAS的患病率为75.12%。在最终调整的模型中，WHtR与CAS升高显著相关（OR 1.23，95%CI 1.10～1.39）。影响CAS的其他风险因素包括：年龄、性别、中风、高血压、糖尿病、吸烟、缺乏体育锻炼。结论：在脑卒中高危人群中，建议将WHtR作为CAS的提示指标。控制WHtR有利于CAS的早期发现和早期干预，减少脑血管事件的发生。 |
| English Summary: |
| This study aims to explore the relationship between WHtR along with other risk factors，and carotid atherosclerosis（CAS) among the high risk population of stroke in China.Methods:A cross-sectional study was performed in 8 communities in Beijing from May，2013 to July，2018.A total of 9 605 high-risk of stroke participants were screened，with their basic information collected.The diagnosis of CAS was based on presence of carotid plaque and increasing of carotid intima-media thickness（cIMT).Results:CAS was analyzed in 9 605 subjects.The prevalence of CAS was 75.12%.WHtR was significantly associated with increased CAS in the final adjusted model（OR：1.23 95%CI：1.10 to 1.39).Other risk factors that affect CAS include：age，gender，previous stroke，hypertension，diabetes mellitus，smoking and lack of physical exercise.Conclusion:Among the high-risk population of stroke，it is proposed that the WHtR can be used as a suggestive indicator for CAS.Controlling the WHtR is beneficial to the early detection and early intervention of CAS，reducing the occurrence of cerebrovascular problems. |
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