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绝经后女性甘油三酯 - 葡萄糖腰围指数与冠状动脉病变程度的关系

剑楠 马(承德医学院研究生学院,中国;保定市第一中心医院心内科,中国;)
杰 陶(保定市第一中心医院心内科,中国;)
大森 桑(保定市第一中心医院心内科,中国;)
华 李(保定市第一中心医院心内科,中国;)
旗 张(保定市第一中心医院心内科,中国;)

摘要

目的:探索绝经后女性甘油三酯葡萄糖腰围指数(TyG-WC)和冠状动脉病变程度的关系。方法:选择2022年10月1日—2024年3月1日期间就诊于保定市第一中心医院心血管内科的绝经后女性158例作为观察对象,根据Gensini评分结果分为低、中、高狭窄。行logistic回归分析探讨绝经后女性冠状动脉高狭窄的影响因素评估TyG-WC对冠状动脉高狭窄的预测价值。结果:①高狭窄的TyG-WC高于低和中狭窄(P<0.05)。②单、多因素logistic回归分析均显示TyG-WC是绝经后女性冠状动脉高狭窄的独立危险因素。结论:TyG-WC可以作为绝经后女性冠状动脉病变程度的预测因子。

关键词

绝经后女性;甘油三酯葡萄糖腰围指数;冠状动脉病变程度

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参考

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Antonino P D, et al. .Insulin Resistance and Atherosclerosis: Implications for Insulin-Sensitizing Agents[J]. Endocrine reviews, 2019, 40 (6): 1447-1467.表 2 冠状动脉高狭窄与危险因素的 logistic 回归分析因素单因素回归分析Wald-χ 2 多因素回归分析95%CIOR95%CIPOR95%CIPTyG-WC1.0231.018-1.029<0.0011.0241.018-1.030<0.001年龄≥60岁2.3471.059-5.2010.0361.5470.655-3.6510.320糖尿病1.8340.923-3.6440.0830.7760.348-1.6860.507高血压3.8991.283-11.8520.0164.2511.418-12.5290.097血脂异常2.9951.508-5.9470.0020.7900.357-1.7500.561



DOI: http://dx.doi.org/10.12345/yzlcyxzz.v7i12.22853

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