PWV和ABI的测定在体质检测中的应用.PDFVIP

第16卷第11期 体 育 学 刊 Vol.16 No.11 2009 年 11 月 Journal of Physical Education N o v . 2 0 0 9 ·运动人体科学· PWV和ABI的测定在体质检测中的应用 22 张艺宏 （成都体育学院运动医学系，四川 成都 610041 ） 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(ABI0.9 或 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 ordi- nary citizens at the age of 20-89 to measure such indexes as brachial artery to malleolar artery pulse wave conduc- tion 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; ap- proximately 3% of the citizens had an abnormal ABI (ABI 0.9 or ABI 1.3); the baPWV is positively correlative with the BWI (r=0.19~0.20 ，P