中国动脉硬化杂志2023，Vol.31Issue(11)：975-980,6.DOI:10.20039/j.cnki.1007-3949.2023.11.007
无症状中年男性低剂量胸部CT冠状动脉钙化的影响因素及应用价值分析
Risk factors and significance of coronary artery calcification in asymptomatic middle-aged male patients by low dose chest CT scanning
摘要
Abstract
Aim To analyze the incidence and influencing factors of coronary artery calcification(CAC)by low dose chest CT in asymptomatic middle-aged male patients,and to explore the value of low dose chest CT in early screening of cardiovascular diseases.Methods 2 571 asymptomatic male participants aged 40～65 were selected who underwent health examination at General Hospital of Eastern Theater Command from January to December 2022.General data,blood indicators,chest CT and other data were collected,and participants were divided into CAC group(n=422)and non-CAC group(n=2 149)according to whether chest CT indicated CAC.The differences between the two groups and the risk fac-tors of CAC were analyzed.Results Among 2 571 asymptomatic middle-aged male patients,the positive rate of CAC was 16.41％.The age,body mass index(BMI),systolic blood pressure,diastolic blood pressure,pulse,waist circum-ference,alanine aminotransferase(ALT),aspartate aminotransferase(AST),blood urea nitrogen(BUN),triglycerides(TG),fasting blood glucose(FBG),and glycated hemoglobin(HbAlc)were higher in CAC group than in non-CAC group,and the red blood cell count(RBC)was lower in CAC group than that in non-CAC group(all P＜0.05).Univari-ate Logistic regression analysis showed that the effects of age,BMI,systolic blood pressure,diastolic blood pressure,pulse,waist circumference,RBC,ALT,AST,BUN,TG,FBG,and HbAlc on CAC were statistically significant(all P＜0.05).Multivariate Logistic regression analysis showed that age,BMI,diastolic blood pressure,RBC,and AST were in-dependent risk factors for CAC(all P＜0.05).Conclusion Age,BMI,diastolic blood pressure,RBC,and AST are independent risk factors for CAC in low dose chest CT,and physical examination chest CT is valuable in cardiovascular dis-ease screening.关键词
冠状动脉钙化/低剂量胸部CT/中年男性/无症状Key words
coronary artery calcification/low dose chest CT/middle-aged male patients/asymptomatic分类
医药卫生引用本文复制引用
周颖,张锐,倪文吉,李丹丹,金涛,钟勇..无症状中年男性低剂量胸部CT冠状动脉钙化的影响因素及应用价值分析[J].中国动脉硬化杂志,2023,31(11):975-980,6.基金项目
江苏省老年健康科研项目(LKM2023021) （LKM2023021）
