·糖尿病心血管病·

　　贺燕林、郝宏毅

　　作者单位：750021银川，宁夏自治区人民医院

　 【摘要】 目的 研究绝经后妇女心外膜脂肪体积(EFV)与代谢综合征(MS)的关系。方法  通过多层螺旋CT测量EFV 。 结果 MS组EFV平均为187.20 cm3，正常对照组(NC)EFV平均为137.33 cm3，两组EFV差异有统计学意义(P<0.01)。Logistic回归分析，收缩压(SBP)、EFV进入回归方程。具有3项MS成分的患者EFV平均为159.00cm3，具有3项MS成分的患者EFV平均为208.36cm3，两组EFV差异有统计学意义(P<0.01)。 结论 EFV与MS密切相关，EFV随着MS成分的增加而增加。EFV可能是 MS的一个非侵袭性预测评估指标之一。

　　【关键词】多层螺旋CT;心外膜脂肪体积;代谢综合征

　　doi:10.3969/j.issn.1006-6187.2011.12.006

　　Relationship between epicardial fat volume and metabolic syndrome in postmenopausal womenHE Yan-lin, HAO Hong-yi. Department of Radiology, Ningxia People′s Hospital, Yinchuan 750021 , China

　 【Abstract】  Objective   To evaluate whether MSCT (multi-slice spiral CT)-evaluated of epicardial fat volume (EFV) is related to metabolic syndrome (MS) in postmenopausal women.   Methods   EFV was measured by MSCT.   Results   EFV was significantly increased in MS group as compared with control group (187.20cm3 vs 137.33 cm3, P<0.01) . In logistic regression analysis，systolic blood pressure and EFV entered into the equation for evaluating MS. EFV was significantly increased in patients with four MS components as compared with three MS components (159.00cm3 vs 208.36cm3,P<0.01).    Conclusion    EFV is strongly related to the development of metabolic syndrome (MS). EFV is an independent risk factor of MS. And EFV is increased along with increased component number of the MS . Measurement of EFV may provide another useful noninvasive indicator of MS .

　　.

　　【Key words】MSCT;Epicardial fat volume;Metabolic syndrome