新医学2025，Vol.56Issue(6)：591-598,8.DOI:10.12464/j.issn.0253-9802.2025-0141
中国人内脏脂肪指数对拟行减重代谢手术的代谢综合征患者OSAHS的筛查价值
Clinical predictive value of Chinese visceral adipose index for the diagnosis of OSAHS in patients with metabolic syndrome scheduled to undergo bariatric metabolic surgery
摘要
Abstract
Objective To explore clinical predictive value of Chinese visceral adipose index(CVAI)for patients with metabolic syndrome(MetS)complicated with obstructive sleep apnea hypopnea syndrome(OSAHS)scheduled for bariatric metabolic surgery(BMS).Methods By the convenience sampling method,243 patients with MetS who were scheduled to undergo BMS in Department I of Gastroenterology Diagnosis and Treatment of the First Hospital of Hebei Medical University from November 2023 to December 2024 were selected.All patients were divided into OSAHS and non-OSAHS groups according to whether they were complicated with OSAHS.Clinical data were collected and CVAI was calculated in two groups.The influencing factors of MetS patients complicated with OSAHS scheduled to undergo BMS were identified by Logistic regression analysis.The receiver operating characteristic(ROC)curve was plotted.The predictive value of CVAI for MetS patients complicated with OSAHS was evaluated.Results Among 243 MetS patients scheduled to undergo BMS,there were statistically significant differences between the OSAHS and non-OSAHS groups in terms of gender,age,weight,body mass index(BMI),neck circumference,abdominal circumference,hip circumference,fasting blood glucose and CVAI(all P<0.05).Multivariate Logistic regression analysis showed that age,hip circumference and CVAI were associated with OSAHS in MetS patients scheduled for BMS(all P<0.05).CVAI had certain predictive value,and the screening value was even better when combined with hip circumference.Conclusions CVAI can be used as a predictive indicator for whether MetS patients are complicated with MetS who are scheduled for BMS.The detection of serological indicators required for calculating CVAI is simple and has clinical practical value in reducing preoperative screening costs and improving the diagnostic rate.关键词
中国人内脏脂肪指数/肥胖/代谢综合征/阻塞性睡眠呼吸暂停低通气综合征Key words
Chinese visceral adipose index/Obesity/Metabolic syndrome/Obstructive sleep apnea hypopnea syndrome引用本文复制引用
王玮,谷敬锋,李冰,王桂琦..中国人内脏脂肪指数对拟行减重代谢手术的代谢综合征患者OSAHS的筛查价值[J].新医学,2025,56(6):591-598,8.基金项目
河北省医学科学研究课题计划(20240524) （20240524）
