高甘油和低三甲胺:精神分裂症患者冠状动脉化的主要危险因素
Tan-Yu Huang1, Li-Chang Chen2, Xiao-Ping Li3
1Department of Radiology, Second People's Hospital of Huizhou, Huizhou, China.
过高的甘油三和低的三甲胺是精神分裂症患者冠状动脉化 (CAC) 的关键危险因素. 这凸显了对这群人群中心血管健康的有针对性监测的需要.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 放射学 放射学是一门学科.
背景情况:
- 冠状动脉化 (CAC) 是冠状动脉心脏病的重要预测因素.
- 精神分裂症患者的CAC率高于一般人群.
研究的目的:
- 确定精神分裂症患者中CAC的特定人群风险因素.
- 在这个队列中调查常规血液检测结果和CAC之间的关联.
主要方法:
- 对916名接受低剂量胸部CT扫描的精神分裂症患者进行横截面分析.
- 后勤回归用于确定与CAC相关的风险因素的赔率比率.
- 负二项式添加模型,以探索风险因素和CAC得分之间的剂量反应关系.
主要成果:
- 25.4%的患者患有CAC.
- 较高的甘油三水平 (OR=1.20) 和较低的三甲氨酸水平 (OR=0.50) 是CCC的显著风险因素.
- 甘油三和三甲氨酸都显示出与CAC得分的显著剂量反应关系.
结论:
- 血清甘油三水平升高和三甲氨酸水平降低是精神分裂症患者中CAC的特定人群风险因素.
- 需要对精神分裂症患者的CAC进行密切监测.
- 需要进一步的前性试验来验证这些发现.
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