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題 名 | 急性男性心肌梗塞病患之動脈硬化指數=The Atherosclerosis Index in Male Patients with Acute Myocardial Infarction |
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作 者 | 李志偉; 吳英黛; 黃千惠; 王志鴻; 謝仁哲; 賴嘉珀; | 書刊名 | 臺灣醫學 |
卷 期 | 10:5 民95.09 |
頁 次 | 頁566-577 |
分類號 | 415.3161 |
關鍵詞 | 急性心肌梗塞; 動脈硬化指數; 年齡; Acute myocardial infarction; Atherosclerosis index; Age; |
語 文 | 中文(Chinese) |
中文摘要 | 探討動脈硬化指數之影響因素。以男性急性心肌梗塞患者為對象,動脈硬化指數(atherosclerosis index, AI)長期變化為指標。將所有對象依年齡不同區分為中壯年族(<65歲)與老年族(≧65歲)。定期回診並於出院後一年時接受冠狀動脈危險因子檢測並計算AI,以及回覆居家運動問卷者,定義為追蹤群。由問卷得知,確實遵照住院期間衛教指示運動處方強度者,定義為運動組;完全無運動者或運動量未達標準者定義為無運動組。運動組與無運動組組內(間)變數之經時性變化情形以1-way與2-way RM ANOVA繼以LSD事後檢定來分析。兩族(群)間之連續變數以及非連續變數則分別各以t-test與Mann-Whitney以及卡方檢定來分析。採邏輯迴歸模型(logistic regression model),以出院後一年時AI增減為依變數,探討AI增減相關自變數之勝算比與95%信賴區間。共174名患者參與本研究,其中59名完成一年追蹤。運動組為34名,無運動組為25名。組內變數之經時性變化,於中壯年族運動組(n=19)呈顯著改善變化為抽菸與高密度脂蛋白膽固醇;老年族無運動組(n=10)之血清三酸甘油脂與總膽固醇血症則呈顯著增加變化。年間高密度脂蛋白膽固醇上升者,AI增加之勝算比為0.69(95%信賴區間:0.51-0.94)。長期居家運動改善冠狀動脈危險因子之效益於中壯年族較顯著;長期無運動則較不利於老年族血清脂質變化。高密度脂蛋白膽固醇變化量與動脈硬化指數增減息息相關。 |
英文摘要 | To discuss the factors influencing the atherosclerosis index. The male acute myocardial infarction patients were chosen to be the subjects and the long-term changes in atherosclerosis index (AI) were studied. The subjects were divided by age into 2 groups including the middle-aged group (<65 y/o) and the elderly group (>=65 y/o). The subjects who came back for examination regularly, received coronary risk factors (CRFs) examination 1 year after discharged, and replied the questionnaire for home-based exercise conditions were defined to be follow-up group. From the questionnaire, the subjects who did perform home-based exercise with specific intensity instructed during hospitalization were defined as exercise subgroup (EG). Those who did not perform home-based exercise totally or did not reach the planned intensity were defined as non-exercise subgroup (NEG). Two-way ANOVA repeated with subsequent Least Significant Difference were used to analyze the changes of the intra-group variables in both EG and NEG. The continuous and categorical variables were analyzed by t-test with Mann-Whitney and Chi-square respectively. A logistic regression model was conducted to provide odds ratio(OR) and 95% confidence interval (CI)to analyze the independent variable related to the changes of AI with the dependent variable which was the changes of AI 1 year after discharged. Among 174 patients who were included in this study, 59 subjects had completed one-year follow-up. There were 34 subjects in EG and 25 subjects in NEG. In the EG of the middle-aged group (n=19), it demonstrated significant changes on smoking cessation and high-density lipoprotein cholesterol (HDL-C). In the NEG of the elderly group (n=10), the serum triglyceride and the hyper-colesterolemia significantly increased. During the year after discharged, the OR of AI increase on the subjects with decreased HDL-C changes was 0.69 (95% CI: 0.51-0.94). The effects of improving CRFs with long-term home-based exercise were more significant in the middle-aged group. On the contrary, without exercise for a long time was disadvantage for serum lipids changes in the elderly group. The changes of HDL-C was correlated to AI. |
本系統中英文摘要資訊取自各篇刊載內容。