南方医科大学学报

南方医科大学学报 ›› 2016, Vol. 36 ›› Issue (01): 83-.

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心血管疾病患者心脏康复前后腰围与器官损害的相关性

雷洪强，徐琳，邱健，马骏，招慧   

  • 出版日期:2016-01-20 发布日期:2016-01-20

Correlation between waist circumference and organ damage in patients with
cardiovascular disease after cardiac rehabilitation program

  • Online:2016-01-20 Published:2016-01-20

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摘要： 目的通过比较心血管疾病的中青年患者中心脏康复前后的肥胖指数腰围（WC）的不同作用，明确WC在这些患者治疗过
程中的监测作用以及观察器官损害的预后价值。方法收集和随访147名住院患者并进行心脏康复程序，为期约4~5周。采集
心脏康复程序进行前后的基本医学信息、空腹抽血检验和超声心动图等内容。结果根据WC标准分组的室间隔厚度，左室舒
张期后壁厚度与进行心脏康复程序前后的WC正相关。而高密度脂蛋白和进行心脏康复程序前后的WC负相关。在进行心脏
康复程序之前，空腹血糖和血清尿酸与WC正相关，但是在进行心脏康复程序之后则没有这种关联性。结论WC能够准确地评
估积极进行心脏康复程序的心血管疾病患者的器官损害，尤其是在评估心脏结构和功能方面。

Abstract: Objective To clarify the role of waist circumference (WC) in estimating organ damage and assessing the prognosis in
young and middle-aged patients with cardiovascular disease undergoing cardiac rehabilitation program (CRP). Methods We
recruited 147 young and middle-aged patients with cardiovascular disease to participate in the CRP for 4 or 5 weeks. The
baseline clinical data and results of routine fasting blood test and ultrasonic cardiography were evaluated for these patients.
Results WC had a linear correlation with the indices reflecting cardiac structure alteration (LVSd and LVPWd) of the patients
after CRP but showed a negative correlation with their HDL-C levels. The fasting blood glucose (FBG) and serum uric acid
(UA) levels showed a positive correlation with WC before CRP but not after CRP. Conclusion WC monitoring allows accurate
assessment of organ damage in patients undergoing CRP after cardiovascular disease and has special value in evaluating the
changes in cardiac structure and function.