CN105286819A - Reagent kit for assisting judgment of blood vessel function of total population - Google Patents

Abstract

The invention discloses a reagent kit for assisting judgment of the blood vessel function of total population. The reagent kit comprises a parameter acquisition device and a readable carrier; the parameter acquisition device comprises a device acquiring various parameters involved in the readable carrier; the readable carrier records the content in the formula I and in the formula II. A suit device for assisting judgment of the blood vessel function of total population comprises a body weight measurement device, a waistline measurement device, a blood pressure measurement device and a calculating device provided with a parameter operation module. The parameter operation module can perform operation in the formula I and the in formula II. By means of the reagent kit, judgment of the risk that blood vessel function abnormity happens to total population (at the age of 30-69) can be assisted.

Description

A kind of test kit of auxiliary judgment total man group vascular function

Technical field

The present invention relates to a kind of test kit of auxiliary judgment total man group vascular function, belong to biologic medical field.

Background technology

With advancing age, all progressively can there is change in the function and structure of human vas.Change in vascular function is mainly reflected in vascular stiffness increase, blood vessel elasticity reduces, arterial pulse wave conduction velocity speeds, vascular compliance reduces, distensibility of blood vessel reduces or vascular resistance increases.The change of these vascular functions usually occurs in before blood vessel structure changes, but this change is usually again reversible, by the mode of making the life better or control underlying diseases etc., can improve vascular function to a certain extent.Therefore, be necessary the detection promoting vascular function in total man group, to find may changing of vascular function as early as possible, be convenient to provide medical science to advise to these crowds.

There is the method for multiple detection vascular function at present clinically, but all need to be detected the object of observation by certain specific instrument, and these instruments are all comparatively heavy or need to carry out analysis of network and draw data usually, the detection of such as pulse wave conduction speed needs to detect specific arteriopalmus point, needs technical requirement to operator; And the detection of arm index also needs special instrument; Systemic blood vessels compliance, systemic vascular resistance and vasodilation degree then need to carry out complicated specialty analysis to arterial pulse waveform and calculate and can reach a conclusion.These are all not suitable for using it for wider primary care practice above.A kind of method utilizing the existing information fast of the object of observation to judge vascular function of current urgent need.

Summary of the invention

The object of this invention is to provide a kind of test kit of auxiliary judgment total man group vascular function, utilize test kit of the present invention, auxiliary judgment total man group (30 ~ 69 years old) risk of vascular function exception can be occurred.

The test kit of auxiliary judgment total man group vascular function provided by the invention, it comprises parameter acquisition equipment and readable carrier;

Described parameter acquisition equipment comprises the equipment gathering the parameters related in described readable carrier;

Described readable carrier describes the content of following formula I and formula II,

$\begin{array}{c}LogitP={\mathrm{\β}}_0+\underset{i=1}{\overset{n}{\Σ}}{\mathrm{\β}}_i{x}_i=-0.4846-0.1188\×f\left(gender\right)+0.0807\×f\left(age1\right)\\ +0.2434\×f\left(age2\right)+0.1602\×f\left(bmi\right)-0.0433\×f\left(waist2bmi\right)\\ -0.0433\×f\left(sbp\right)-0.0246\×f(sbp-dpb)\end{array}$ Formula I;

In formula I, when tester is male, the value of f (gender) is 0, and when tester is women, the value of f (gender) is 1;

When the age of tester is 45 ~ 54 years old, the value of f (age1) is 1, when the age of tester be 30 ~ 44 years old or 55 ~ 69 years old time, the value of f (age1) is 0;

When the age of tester is 55 ~ 69 years old, the value of f (age2) is 1, and when the age of tester is 30 ~ 54 years old, the value of f (age2) is 0;

F (bmi) represents Body Mass Index, and unit is kg/m ²;

F (waist2bmi) represents waistline Body Mass Index ratio, and be waistline/Body Mass Index, unit is cm/kg/m ²;

F (sbp) represents systolic pressure, and unit is mmHg;

F (sbp-dpb) represents pulse pressure difference, and be systolic pressure-diastolic pressure, unit is mmHg;

$p=\frac{e^{LogitP}}{1+e^{LogitP}}$ Formula II;

In formula II, p represents that the risk of vascular function exception appears in tester.

Above-mentioned test kit, described parameter acquisition equipment comprises weighing machine, gage and sphygomanometer, for the body weight of collecting test person, waistline, systolic pressure and diastolic pressure.

Above-mentioned test kit, described readable carrier can be test kit description; The print matter of described formula I and formula II, on card, uses more convenient.

Above-mentioned test kit, described readable carrier can be computer readable carrier.

Present invention also offers the suit of auxiliary judgment total man group vascular function, it computing equipment comprising measured body weight equipment, waistline measurement device, blood pressure measurement device and be provided with parameter computing module; Described parameter computing module can carry out the computing of following formula I and formula II:

$\begin{array}{c}LogitP={\mathrm{\β}}_0+\underset{i=1}{\overset{n}{\Σ}}{\mathrm{\β}}_i{x}_i=-0.4846-0.1188\×f\left(gender\right)+0.0807\×f\left(age1\right)\\ +0.2434\×f\left(age2\right)+0.1602\×f\left(bmi\right)-0.0433\×f\left(waist2bmi\right)\\ -0.0433\×f\left(sbp\right)-0.0246\×f(sbp-dpb)\end{array}$ Formula I;

In formula I, when tester is male, the value of f (gender) is 0, and when tester is women, the value of f (gender) is 1;

When the age of tester is 55 ~ 69 years old, the value of f (age2) is 1, and when the age of tester is 30 ~ 54 years old, the value of f (age2) is 0;

F (bmi) represents Body Mass Index, and unit is kg/m ²;

F (waist2bmi) represents waistline Body Mass Index ratio, and be waistline/Body Mass Index, unit is cm/kg/m ²;

F (sbp) represents systolic pressure, and unit is mmHg;

F (sbp-dpb) represents pulse pressure difference, and be systolic pressure-diastolic pressure, unit is mmHg;

$p=\frac{e^{LogitP}}{1+e^{LogitP}}$ Formula II;

In formula II, p represents that the risk of vascular function exception appears in tester.

Present invention also offers the using method of the test kit of above-mentioned auxiliary judgment total man group vascular function, comprise the following steps:

1) body weight of examine person, waistline and blood pressure is measured, line item of going forward side by side;

2) computing is carried out according to following formula I and formula II:

$\begin{array}{c}LogitP={\mathrm{\β}}_0+\underset{i=1}{\overset{n}{\Σ}}{\mathrm{\β}}_i{x}_i=-0.4846-0.1188\×f\left(gender\right)+0.0807\×f\left(age1\right)\\ +0.2434\×f\left(age2\right)+0.1602\×f\left(bmi\right)-0.0433\×f\left(waist2bmi\right)\\ -0.0433\×f\left(sbp\right)-0.0246\×f(sbp-dpb)\end{array}$ Formula I;

When the age of tester is 55 ~ 69 years old, the value of f (age2) is 1, and when the age of tester is 30 ~ 54 years old, the value of f (age2) is 0;

F (bmi) represents Body Mass Index, and unit is kg/m ²;

F (waist2bmi) represents waistline Body Mass Index ratio, and be waistline/Body Mass Index, unit is cm/kg/m ²;

F (sbp) represents systolic pressure, and unit is mmHg;

F (sbp-dpb) represents pulse pressure difference, and be systolic pressure-diastolic pressure, unit is mmHg;

$p=\frac{e^{LogitP}}{1+e^{LogitP}}$ Formula II;

In formula II, p represents that the risk of vascular function exception appears in tester.

Present invention also offers parameter acquisition equipment and the application of readable carrier in the test kit of preparation auxiliary judgment total man group vascular function, wherein, described parameter acquisition equipment comprises the equipment gathering the parameters related in described readable carrier;

Described readable carrier describes the content of following formula I and formula II,

$\begin{array}{c}LogitP={\mathrm{\β}}_0+\underset{i=1}{\overset{n}{\Σ}}{\mathrm{\β}}_i{x}_i=-0.4846-0.1188\×f\left(gender\right)+0.0807\×f\left(age1\right)\\ +0.2434\×f\left(age2\right)+0.1602\×f\left(bmi\right)-0.0433\×f\left(waist2bmi\right)\\ -0.0433\×f\left(sbp\right)-0.0246\×f(sbp-dpb)\end{array}$ Formula I;

In formula I, when tester is male, the value of f (gender) is 0, and when tester is women, the value of f (gender) is 1;

When the age of tester is 45 ~ 54 years old, the value of f (age1) is 1, when the age of tester be 30 ~ 44 years old or 55 ~ 69 years old time, the value of f (age1) is 0;

When the age of tester is 55 ~ 69 years old, the value of f (age2) is 1, and when the age of tester is 30 ~ 54 years old, the value of f (age2) is 0;

F (bmi) represents Body Mass Index, and unit is kg/m ²;

F (waist2bmi) represents waistline Body Mass Index ratio, and be waistline/Body Mass Index, unit is cm/kg/m ²;

F (sbp) represents systolic pressure, and unit is mmHg;

F (sbp-dpb) represents pulse pressure difference, and be systolic pressure-diastolic pressure, unit is mmHg;

$p=\frac{e^{LogitP}}{1+e^{LogitP}}$ Formula II;

In formula II, p represents that the risk of vascular function exception appears in tester.

Above-mentioned application, described parameter acquisition equipment comprises weighing machine, gage and sphygomanometer.

Above-mentioned application, described readable carrier is test kit description; The print matter of described formula I and formula II is on card.

In the present invention, measured body weight equipment, waistline measurement device, blood pressure measurement device and the computing equipment being provided with parameter computing module are applied to the suit of preparation auxiliary judgment total man group vascular function, wherein, the computing equipment being provided with parameter computing module described in can carry out the computing of following formula I and formula II:

$\begin{array}{c}LogitP={\mathrm{\β}}_0+\underset{i=1}{\overset{n}{\Σ}}{\mathrm{\β}}_i{x}_i=-0.4846-0.1188\×f\left(gender\right)+0.0807\×f\left(age1\right)\\ +0.2434\×f\left(age2\right)+0.1602\×f\left(bmi\right)-0.0433\×f\left(waist2bmi\right)\\ -0.0433\×f\left(sbp\right)-0.0246\×f(sbp-dpb)\end{array}$ Formula I;

In formula I, when tester is male, the value of f (gender) is 0, and when tester is women, the value of f (gender) is 1;

When the age of tester is 55 ~ 69 years old, the value of f (age2) is 1, and when the age of tester is 30 ~ 54 years old, the value of f (age2) is 0;

F (bmi) represents Body Mass Index, and unit is kg/m ²;

F (waist2bmi) represents waistline Body Mass Index ratio, and be waistline/Body Mass Index, unit is cm/kg/m ²;

F (sbp) represents systolic pressure, and unit is mmHg;

F (sbp-dpb) represents pulse pressure difference, and be systolic pressure-diastolic pressure, unit is mmHg;

$p=\frac{e^{LogitP}}{1+e^{LogitP}}$ Formula II;

In formula II, p represents that the risk of vascular function exception appears in tester.

Test kit of the present invention is applicable to the judgement of the vascular function of total man group's (population) of 30 ~ 69 years old.

" total man group " in the present invention refers to healthy population, sub-health population and sick people; Wherein, (1) healthy population and sub-health population refer to without the clinical disease of clarifying a diagnosis, without indulging in excessive drinking or dementia; And meet the following conditions: waistline: male <90cm, women <85cm, Body Mass Index: <28kg/m ², mean blood pressure: <140/90mmHg, fasting glucose: <7mmol/L.2 hours blood glucose <11.1mmol/L after the meal, low-density lipoprotein cholesterol: < 4.14mmol/L, T-CHOL <6.24mmol/L, HDL-C >=1.04mmol/L, triglyceride <2.27mmol/L, hs-CRP <10mg/L, glutamate pyruvate transaminase: <80u/L, creatinine: normal; (2) sick people refers to without excessive drinking, the dull-witted or clinical disease of clarifying a diagnosis without other, but only there is the patient of following a kind of disease: hypertension, hyperlipemia, diabetes, coronary heart disease or apoplexy.

When using test kit of the present invention to carry out the judgement of vascular function exception, by the body weight of described parameter acquisition equipment collecting test person, waistline, systolic pressure and diastolic pressure, in conjunction with the sex and age of tester, utilize the formula I and formula II recorded in readable carrier, can obtain p value, p value represents that the risk of vascular function exception appears in tester, and it is the number between 0 ~ 1, when being 0, illustrate that vascular function is normal; For from 0 to 1 time, p value is larger, illustrates that tester exists the risk of vascular function exception larger.

The test kit of auxiliary judgment total man group vascular function of the present invention, tool has the following advantages:

(1) by data such as the body weight easily obtained in clinical, waistline and blood pressures, directly calculate whether vascular function exists exception, is conducive to basic health mechanism medical worker carries out vascular function preliminary judgement to medical patient.

(2) the formula I in the present invention and formula II can utilize computer readable carrier (software) to calculate, finally realize user to input basic parameter (sex, age, body weight, waistline, systolic pressure and diastolic pressure) p value can be obtained, thus judge the risk of vascular function exception, be conducive to promoting the method in crowd, thus improve crowd to the understanding of native blood vessel function and attention.

(3) the present invention finally obtains the judgement of the risk of vascular function exception, and can there is the judgement of abnormal risk to systemic blood vessels compliance, systemic vascular resistance or brachial artery dilatancy, be comparatively comprehensively judging vascular function.

Accompanying drawing explanation

Fig. 1 is healthy group, the comparable situation of subhealth state group and disease group Elastic function, and in Fig. 1, systemic blood vessels compliance unit is ml/mmHg, and systemic vascular resistance unit is 10 ³dynes/sec/cm ⁵, brachial artery dilatancy unit is %/mmHg.

Fig. 2 is the comparable situation of general subhealth state and high-risk subhealth state Elastic function unnatural proportions.

Fig. 3 is the comparable situation of high-risk subhealth state and general subhealth state person's Elastic function, and in Fig. 3, systemic blood vessels compliance unit is ml/mmHg, and systemic vascular resistance unit is 10 ³dynes/sec/cm ⁵, brachial artery dilatancy unit is %/mmHg.

Fig. 4 is the comparable situation of dissimilar body subhealth state group blood vessel elasticity index, and in Fig. 4, systemic blood vessels compliance unit is ml/mmHg, and systemic vascular resistance unit is 10 ³dynes/sec/cm ⁵, brachial artery dilatancy unit is %/mmHg.

Detailed description of the invention

The experimental technique used in following embodiment if no special instructions, is conventional method.

Material used in following embodiment, reagent etc., if no special instructions, all can obtain from commercial channels.

One, experimenter's vascular function correlation analysis

1, the determination of vascular function dividing value point

The object of the invention is assessment total man group's (i.e. population: Healthy People, sub-healty adults, sick people) patient being carried out to arterial function.The present invention adopts U.S. Dynapulse200A arterial elasticity sensing equipment as the elastic capital equipment of evaluation total man's group motion arteries and veins, and selective system vascular compliance, systemic vascular resistance and brachial artery dilatancy are as the evaluation index of Elastic function.Determine that the dividing value point of the arterial function exceptional value of Healthy People is the basis ensureing that the present invention carries out smoothly.Only there is American exceptional value dividing value point at present, as shown in table 2, for ensureing the function evaluating tremulous pulse accurately, the 300 routine Healthy People vascular function data be first selected according to the present invention determine the evaluation point of contact of three vascular function indexs, and as the basis that vascular function of the present invention is analyzed.

Because age-sex has clear and definite impact to vascular function, object of study is pressed Sex, Age grouping by the present invention, and elastic index is with 20% lower limit of normal person for boundary's point value, and Drag Indices is with 80% upper limit of normal person for boundary's point value, and concrete numerical value is in table 1.

The dividing value point of table 1 age groups of the present invention three elastic indexs

Table 2 American population vascular function dividing value point

2, Body health, body subhealth state and sick people's Elastic function data analysis

(1) classified data analysis: blood vessel elasticity index is divided into Critical anomaly and normal two groups according to the above-mentioned dividing value determined, compares in different crowd.Adopt contingency table X 2 test, the normal and unnatural proportions of three groups of blood vessel elasticity indexs is in table 3, and after calibrated age-sex, difference still reaches statistical significance.Compare between two further, healthy compared with subhealth state group, the P value of SVC, SVR and BAD is respectively 0.0452,0.6420 and 0.0005; Healthy group is compared with disease group, and P value is respectively <0.0001, and 0.0079 and 0.0001; Subhealth state P value compared with disease group is respectively 0.0072,0.0092 and 0.4389.

Table 3 different group blood vessel elasticity Indexes Abnormality situation compares (n=1297)

(2) measurement data analysis: the mensuration average of each group three kinds of blood vessel elasticity indexs and standard deviation are in table 4.Adopt variance analysis, the difference of blood vessel elasticity index between more each group, after calibrated age-sex, difference still reaches statistical significance.Compare between two further: systemic blood vessels compliance health compares with subhealth state group, P<0.0001, healthy group compares with disease group, and P=0.0046, subhealth state group compares with disease group, P=0.0020.Systemic vascular resistance subhealth state, disease group compare with healthy group, and P value is respectively 0.0377 and 0.0442, subhealth state and disease group comparing difference not statistically significant.

Table 4 different group blood vessel elasticity Indexes Comparison

As seen from Figure 1, difference along with health status: health, subhealth state, disease, systemic blood vessels compliance (SVC) is reducing gradually, systemic vascular resistance (SVR) increase gradually, brachial artery dilatancy (BAD) decline gradually.

3, in various degree and the Elastic function analysis of dissimilar body subhealth state

(1) relative analysis of general subhealth state and high-risk subhealth state patient vessel spring function: systemic blood vessels compliance exception or brachial artery dilatancy exception person are in high-risk subhealth state group all more than general subhealth state group, and systemic vascular resistance abnormal rate two groups is without significant difference.Contingency table compares in table 5 and Fig. 2, and variance analysis is in table 6.

Variance analysis shows, high-risk subhealth state group system vascular compliance and brachial artery dilatancy are lower than general subhealth state group, after correcting age-sex, difference still reaches statistically significant meaning, systemic vascular resistance high-risk subhealth state group is higher than general subhealth state group, but difference does not reach statistically significant meaning (see table 6 and Fig. 3).

The general subhealth state of table 5 and high-risk subhealth state group blood vessel elasticity index is normal and unnatural proportions

The general subhealth state of table 6 and high-risk subhealth state group blood vessel elasticity index

As seen from Figure 3, the high-risk subhealth state of 3A systemic blood vessels compliance is lower than general subhealth state, and the high-risk subhealth state of 3B systemic vascular resistance is higher than subhealth state, and the high-risk subhealth state of 3C brachial artery dilatancy is lower than general subhealth state.

(2) relative analysis of dissimilar subhealth state group Elastic function: the relative analysis of blood vessel elasticity index between seven hypotypes of body subhealth state, table 7 compares for contingency table, shows group difference and reaches statistical significance.Comparative analysis between further group, as any one Indexes Abnormality in three indexs is all thought of as vascular function extremely, so In Prehypertensive group and blood pressure merge the difference that all there is statistical significance compared with blood glucose or the blood fat normal high level group group high with depletion of blood voltage rise, and comparing difference not statistically significant between other groups.Equally, more also there is this phenomenon between systemic blood vessels compliance, systemic vascular resistance group.Brachial artery dilatancy comparing difference between each group is all not remarkable.

Table 8 is variance analysis, and each group difference of same display reaches statistically significant meaning.Compare between two further: 1. systemic blood vessels compliance: simple In Prehypertensive group and blood glucose merge blood fat normal high level group lower than the normal high level of simple blood fat and the normal high level group of simple blood glucose, blood pressure merges blood glucose normal high level group lower than the normal high level group of simple blood glucose, difference reaches statistical significance, comparing difference not statistically significant between other groups.2. systemic vascular resistance: simple In Prehypertensive group is higher than the normal high level group of simple blood glucose, and between other groups, comparing difference does not all reach statistical significance.3. brachial artery dilatancy: simple In Prehypertensive and blood pressure merge blood glucose or blood fat normal high level group lower than the normal high level group of simple blood glucose, comparing difference not statistically significant (see Fig. 4) between other groups.

Normal and the unnatural proportions of table 7 dissimilar subhealth state group Elastic function

The variance analysis of table 8 dissimilar subhealth state group Elastic function

Drawn the following conclusions by the result of study of sub-health state under above different situations:

1) although the indexs such as blood pressure, blood glucose, blood fat are only in the normal high level stage, the vascular function of experimenter receives impact.Prompting: body sub-health state can produce adverse influence to the spring function of blood vessel.

2) blood pressure affects the topmost factor of Elastic function, and it affects intensity higher than blood fat and blood glucose.

3) multiple cardiovascular risk factors is larger in the impact of gathering on vascular function in normal high level stage.

4, the relation of different physical signs and blood vessel elasticity

(1) relation of sex, age and blood vessel elasticity index: the difference tool statistically significant meaning of different sexes and age groups blood vessel elasticity index.Analyze between two further: 1. systemic blood vessels compliance: after correcting sex, each age group compares, F value=34.97, P<0.0001; Adopt Bonferroni method to compare between two further, compare in 30 ~ 44 years old group and 45 ~ 54 years old group, P=0.0006, the two compares with 55 ~ 99 years old group, the equal <0.0001 of P value.Two gender comparison after the correction age, P<0.0001.2. systemic vascular resistance: after correcting sex, each age group compares, F value=17.30, P<0.0001; Adopt Bonferroni method to compare between two further, within 30 ~ 44 years old, group compares with other two groups, the equal <0.0001 of P value.Other two group differences do not reach statistical significance, P=0.1400.Two gender comparison after the correction age, P<0.0001.3. brachial artery dilatancy: after correcting sex, each age group compares, F value=21.36, P<0.0001; Adopt Bonferroni method to compare between two further, within 30 ~ 44 years old, group compares with other two groups, the equal <0.0001 of P value.Other two group differences do not reach statistical significance, P=0.1459.After correcting the age, two sex comparing differences do not reach statistical significance, P=0.1943.(see table 9)

The relation of table 9 sex, age and blood vessel elasticity index

(2) relation of blood pressure level and blood vessel elasticity index: after correcting age-sex, all there is significant difference in different level of blood pressure subgroup blood vessel elasticity index.Compare between two further, for systemic blood vessels compliance, In Prehypertensive and hypertension group compared with blood pressure normal group, the equal <0.0001 of P value, In Prehypertensive compared with hypertension two groups, P=0.0109.For systemic vascular resistance, blood pressure normal group compares with normal high level group, P=0.0123, and other compare between two, P<0.0001.For brachial artery dilatancy, hypertension and In Prehypertensive two groups of comparing difference not statistically significants, P=0.7109, other compare between two, P<0.0001.(see table 10)

The relation of table 10 blood pressure level and blood vessel elasticity index

(3) relation of obese degree and blood vessel elasticity index: study population is divided into normal (the Body Mass Index <24kg/m of Body Mass Index according to Body Mass Index ²), overweight (Body Mass Index 24-30kg/m ²) and fat (Body Mass Index >30kg/m ²) three groups, after correcting age-sex, between three groups all there is significant difference in blood vessel elasticity index.Compare between two further, for systemic blood vessels compliance, BMI normal group compares with overweight group, P<0.0001, and between other groups, comparing difference does not reach statistical significance.For systemic vascular resistance, BMI normal group compares with overweight group, and P<0.0001, BMI normal group compares with fat group, P=0.0080, organizes comparing difference for overweight group do not reach statistical significance with obesity.More all statistical significance is not reached between two between brachial artery dilatancy three groups.(see table 11)

The relation of table 11 Body Mass Index and blood vessel elasticity index

(4) relation of blood sugar level and blood vessel elasticity index: be no matter fasting glucose or 2 hours blood glucoses after the meal, between its level and blood vessel elasticity index, difference does not all reach statistically significant meaning.(see table 12 and table 13)

The relation of table 12 fasting blood glucose level and blood vessel elasticity index

The relation of table 13 2 hours after the meal (OGTT) blood sugar levels and blood vessel elasticity index

(5) relation of blood lipid level and blood vessel elasticity index: low-density lipoprotein cholesterol, T-CHOL, total triglyceride and High-density Lipoprotein-cholesterol and blood vessel elasticity index are carried out correlation analysis by this research respectively, and difference does not all reach statistically significant meaning.(see table 14, table 15, table 16 and table 17)

Table 14 low-density lipoprotein cholesterol (LDL-C) and vascular function

Table 15 T-CHOL (TC) and vascular function

Table 16 HDL-C (HDL-C) and vascular function

Table 17 triglyceride (TG) and vascular function

Can be drawn to draw a conclusion by above-mentioned research:

1) no matter masculinity femininity, with advancing age, vascular compliance declines, and resistance increases;

2) same year age group, women's vascular compliance is lower than male, and vascular resistance is higher than male;

3) along with the rising of blood pressure, vascular compliance declines, and vascular resistance increases;

4) Overweight and obesity person systemic blood vessels compliance is higher than Normal-weight person, and systemic vascular resistance reduces, and its reason needs to be studied further.

5, the relation of inflammation index (hsCRP) and blood vessel elasticity

In recent years research finds that inflammatory reaction take part in arteriosclerotic development, and partly may start inflammatory factor under sub-health state, does which kind of sub-health state easily start inflammatory factor? what is on the impact of vascular function? the present invention has inquired into above content.Adopt the international conventional hs-CRP (hsCRP) used as the inflammation index analyzed under body sub-health state.According to the scheme that the large-scale clinical research JUPITER of multicenter, international studies, be divided into two groups according to the horizontal <2mg/L of hsCRP and >=2mg/L, visible three kinds of vascular function indexs are at the equal not statistically significant of two group differences.(see table 18)

The horizontal experimenter of the different hsCRP of table 18 and blood vessel elasticity Indexes Comparison

Can be drawn to draw a conclusion by above-mentioned research:

Inflammation index and vascular function index are without significant correlation.

Two, total man group's vascular function body overall evaluation system

The logistic regression model of whole crowd: dependent variable is that (span is 0 ~ 1 to vascular function situation, represent normal when being 0, represent that the risk of vascular function exception is larger from 0 to 1), independent variable is age, sex, blood pressure, blood glucose, blood lipid level, hsCRP level, Psychological assessment and Syndrome Types of TCM etc.By the parameter of maximum likelihood estimate estimation model, the variable finally entering equation is as shown in Table 19.

As can be seen from Table 19, the age more than 45 years old, high, the waistline Body Mass Index of Body Mass Index than large, shrink that to force down little with pulse pressure be the independent hazard factor of Elastic function, and the age is wherein topmost risk factor.

Table 19 total man group Logistic regression model

*: waistline Body Mass Index ratio=waistline (cm)/Body Mass Index (kg/m ²)

*: pulse pressure difference=systolic pressure (mmHg) – diastolic pressure (mmHg).

The logistic regression model of whole crowd is as follows:

$\begin{array}{c}LogitP={\mathrm{\&beta;}}_0+\underset{i=1}{\overset{n}{\&Sigma;}}{\mathrm{\&beta;}}_i{x}_i=-0.4846-0.1188\&times;f\left(gender\right)+0.0807\&times;f\left(age1\right)\\ +0.2434\&times;f\left(age2\right)+0.1602\&times;f\left(bmi\right)-0.0433\&times;f\left(waist2bmi\right)\\ -0.0433\&times;f\left(sbp\right)-0.0246\&times;f(sbp-dpb)\end{array}$ Formula I;

In formula I, when tester is male, the value of f (gender) is 0, and when tester is women, the value of f (gender) is 1;

When the age of tester is 45 ~ 54 years old, the value of f (age1) is 1, when the age of tester be 30 ~ 44 years old or 55 ~ 69 years old time, the value of f (age1) is 0;

When the age of tester is 55 ~ 69 years old, the value of f (age2) is 1, and when the age of tester is 30 ~ 54 years old, the value of f (age2) is 0;

F (bmi) represents Body Mass Index, and unit is kg/m ²;

F (waist2bmi) represents waistline Body Mass Index ratio, and be waistline/Body Mass Index, unit is cm/kg/m ²;

F (sbp) represents systolic pressure, and unit is mmHg;

F (sbp-dpb) represents pulse pressure difference, and be systolic pressure-diastolic pressure, unit is mmHg;

$p=\frac{e^{LogitP}}{1+e^{LogitP}}$ Formula II;

In formula II, p represents that the risk of vascular function exception appears in tester.

Therefore the test kit recording above-mentioned model is utilized auxiliary judgment total man group can to occur the risk of vascular function exception, when calculating p value and being 0, represent that vascular function is normal, when calculate p value by 0 to 1 time, the larger expression of p value occurs that the risk of vascular function exception is larger.

Claims (10)

1. a test kit for auxiliary judgment total man group vascular function, it comprises parameter acquisition equipment and readable carrier;

Described parameter acquisition equipment comprises the equipment gathering the parameters related in described readable carrier;

Described readable carrier describes the content of following formula I and formula II,

In formula I, when tester is male, the value of f (gender) is 0, and when tester is women, the value of f (gender) is 1;

When the age of tester is 45 ~ 54 years old, the value of f (age1) is 1, when the age of tester be 30 ~ 44 years old or 55 ~ 69 years old time, the value of f (age1) is 0;

When the age of tester is 55 ~ 69 years old, the value of f (age2) is 1, and when the age of tester is 30 ~ 54 years old, the value of f (age2) is 0;

F (bmi) represents Body Mass Index, and unit is kg/m ²;

F (waist2bmi) represents waistline Body Mass Index ratio, and be waistline/Body Mass Index, unit is cm/kg/m ²;

F (sbp) represents systolic pressure, and unit is mmHg;

F (sbp-dpb) represents pulse pressure difference, and be systolic pressure-diastolic pressure, unit is mmHg;

$p=\frac{e^{LogitP}}{1+e^{LogitP}}$ Formula II;

In formula II, p represents that the risk of vascular function exception appears in tester.

2. test kit according to claim 1, is characterized in that: described parameter acquisition equipment comprises weighing machine, gage and sphygomanometer.

3. test kit according to claim 1 and 2, is characterized in that: described readable carrier is test kit description; The print matter of described formula I and formula II is on card.

4. test kit according to claim 1 and 2, is characterized in that: described readable carrier is computer readable carrier.

5. a suit for auxiliary judgment total man group vascular function, it computing equipment comprising measured body weight equipment, waistline measurement device, blood pressure measurement device and be provided with parameter computing module; Described parameter computing module can carry out the computing of following formula I and formula II:

In formula I, when tester is male, the value of f (gender) is 0, and when tester is women, the value of f (gender) is 1;

When the age of tester is 55 ~ 69 years old, the value of f (age2) is 1, and when the age of tester is 30 ~ 54 years old, the value of f (age2) is 0;

F (bmi) represents Body Mass Index, and unit is kg/m ²;

F (waist2bmi) represents waistline Body Mass Index ratio, and be waistline/Body Mass Index, unit is cm/kg/m ²;

F (sbp) represents systolic pressure, and unit is mmHg;

F (sbp-dpb) represents pulse pressure difference, and be systolic pressure-diastolic pressure, unit is mmHg;

$p=\frac{e^{LogitP}}{1+e^{LogitP}}$ Formula II;

In formula II, p represents that the risk of vascular function exception appears in tester.

6. the using method of the test kit of the auxiliary judgment total man group vascular function described in claim 1-4, comprises the following steps:

1) body weight of examine person, waistline and blood pressure is measured, line item of going forward side by side;

2) computing is carried out according to following formula I and formula II:

When the age of tester is 55 ~ 69 years old, the value of f (age2) is 1, and when the age of tester is 30 ~ 54 years old, the value of f (age2) is 0;

F (bmi) represents Body Mass Index, and unit is kg/m ²;

F (waist2bmi) represents waistline Body Mass Index ratio, and be waistline/Body Mass Index, unit is cm/kg/m ²;

F (sbp) represents systolic pressure, and unit is mmHg;

F (sbp-dpb) represents pulse pressure difference, and be systolic pressure-diastolic pressure, unit is mmHg;

$p=\frac{e^{LogitP}}{1+e^{LogitP}}$ Formula II;

In formula II, p represents that the risk of vascular function exception appears in tester.

7. parameter acquisition equipment and the readable carrier application in the test kit of preparation auxiliary judgment total man group vascular function, wherein, described parameter acquisition equipment comprises the equipment gathering the parameters related in described readable carrier;

Described readable carrier describes the content of following formula I and formula II,

In formula I, when tester is male, the value of f (gender) is 0, and when tester is women, the value of f (gender) is 1;

When the age of tester is 45 ~ 54 years old, the value of f (age1) is 1, when the age of tester be 30 ~ 44 years old or 55 ~ 69 years old time, the value of f (age1) is 0;

When the age of tester is 55 ~ 69 years old, the value of f (age2) is 1, and when the age of tester is 30 ~ 54 years old, the value of f (age2) is 0;

F (bmi) represents Body Mass Index, and unit is kg/m ²;

F (waist2bmi) represents waistline Body Mass Index ratio, and be waistline/Body Mass Index, unit is cm/kg/m ²;

F (sbp) represents systolic pressure, and unit is mmHg;

F (sbp-dpb) represents pulse pressure difference, and be systolic pressure-diastolic pressure, unit is mmHg;

$p=\frac{e^{LogitP}}{1+e^{LogitP}}$ Formula II;

In formula II, p represents that the risk of vascular function exception appears in tester.

8. application according to claim 7, is characterized in that: described parameter acquisition equipment comprises weighing machine, gage and sphygomanometer.

9. the application according to claim 7 or 8, is characterized in that: described readable carrier is test kit description; The print matter of described formula I and formula II is on card.

10. measured body weight equipment, waistline measurement device, blood pressure measurement device and the application of computing equipment in the suit of preparation auxiliary judgment total man group vascular function that be provided with parameter computing module, wherein, the computing equipment being provided with parameter computing module described in can carry out the computing of following formula I and formula II:

In formula I, when tester is male, the value of f (gender) is 0, and when tester is women, the value of f (gender) is 1;

When the age of tester is 55 ~ 69 years old, the value of f (age2) is 1, and when the age of tester is 30 ~ 54 years old, the value of f (age2) is 0;

F (bmi) represents Body Mass Index, and unit is kg/m ²;

F (waist2bmi) represents waistline Body Mass Index ratio, and be waistline/Body Mass Index, unit is cm/kg/m ²;

F (sbp) represents systolic pressure, and unit is mmHg;

F (sbp-dpb) represents pulse pressure difference, and be systolic pressure-diastolic pressure, unit is mmHg;

$p=\frac{e^{LogitP}}{1+e^{LogitP}}$ Formula II;

In formula II, p represents that the risk of vascular function exception appears in tester.