在荷兰一般人口中慢性静脉疾病的患病率和危险因素:来自鹿特丹研究的结果
Eveline R Y Scheerders1, Luba M Pardo1, Wendy S J Malskat1
1Department of Dermatology, Erasmus Medical Center, Rotterdam, the Netherlands.
概括
这项研究发现,荷兰人口中有23.7%患有表面静脉反流,3.0%患有晚期慢性静脉疾病 (CVD). 识别年龄和性别等风险因素可以改善心血管疾病的预防策略.
科学领域:
- 血管医学 血管医学
- 流行病学 流行病学
背景情况:
- 慢性静脉疾病 (CVD) 影响了许多人,导致腿部疼痛和胀,有可能导致严重的并发症,如静脉.
- 使用医生执行的双重超声波 (DUS) 来评估心脏病发病率和风险因素的基于人口的研究是有限的.
研究的目的:
- 在荷兰人口中确定CEAP (临床-病因学-解剖学-病理生理学) 临床类,特别是C3-C6心血管疾病和表面静脉逆流的患病率.
- 为了确定心血管疾病和表面静脉反流的相关风险因素.
主要方法:
- 一个基于人口的,横截面的队列研究,嵌入在鹿特丹研究中.
- 40岁及以上的参与者接受了DUS进行表面静脉逆流评估和CEAP分类.
- 多变量后勤回归确定了表面静脉反流和CVDC3-C6.6的独立风险因素.
主要成果:
- 这项研究包括2510名参与者 (1441名女性,1069名男性;年龄中位数为54岁).
- 心血管疾病CEAP临床类C3-C6的患病率为3.0%,表面静脉逆流在23.7%的参与者中存在.
- 心血管疾病C3-C6的独立风险因素包括年龄较大,女性性别和身高较高;反流的风险因素还包括高腰部比率.
结论:
- 在荷兰一般人群中观察到表面静脉反流 (23.7%) 和中度至重度心血管疾病 (3.0%) 的显著患病率.
- 识别出风险因素可以帮助早期识别有风险的个人.
- 根据这些风险因素优化预防措施可能会降低医疗保健成本.
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