Association Between Peak Expiratory Flow And Cardiovascular Disease

Objective: By analyzing the data distribution characteristics of peak expiratory flow rate in the early screening and comprehensive intervention management projects of high-risk people with cardiovascular disease in Xinjiang,the correlation with cardiovascular disease was discussed.Methods: This study selected early screening and comprehensive intervention management projects for high-risk people with cardiovascular disease in the four regions of Shuimogou District,Changji State,Bozhou Jinghe County,Kashi Yuepuhu County,Urumqi,Xinjiang from 2016 to 2018.The subjects are the research subjects,aged 35-75 years old,19833 males,27481 females,a total of 47314 cases.The peak expiratory flow rate was measured with a peak flow meter,and the expected percentage of peak expiratory flow rate was calculated(the measured value as a percentage of the normal expected value),which was divided into two groups: the severe decline group was defined as the percentage of peak expiratory flow rate The lowest quartile value,the non-severe decline group was defined as the remaining three quartiles as the control group.Judgment criteria for high-risk subjects are evaluated based on the subject 's blood pressure,blood lipid levels,previous history of cardiovascular disease or history of cerebrovascular disease,and are divided into: cardiovascular disease type,high blood pressure type,and dyslipidemia type.Compare demographic data(age,gender,occupation,education,region,urban and rural distribution)between the two groups,physical fitness,laboratory tests(height,weight,body mass index,waist circumference,blood pressure,heart rate,blood lipids,blood sugar),personal history and The distribution characteristics of disease history(history of smoking,drinking,hypertension,diabetes,coronary heart disease,stroke),high-risk objects and types(cardiovascular disease,high blood pressure,and dyslipidemia).Correlation analysis of risk factors between groups.Results:(1)Compared with the non-seriously deteriorating group,the factors of male,occupation(farmer),region(Jinghe County,Yuepuhu County),village and smoking history are relatively large;waist circumference,blood pressure,heart rate and The mean level of blood sugar and other factors is higher;at the same time,the prevalence of coronary heart disease and stroke is higher.(2)Compared with the non-severely reduced group,the total detection rate and detection rate of high-risk subjects in the severely reduced group are higher: total detection rate of high-risk:23.3% vs 20.0%;detection rate of high blood pressure type: 12.1% vs 11.0%;dyslipidemia detection rate: 10.0% vs 8.0%;cardiovascular disease detection rate: 3.5% vs 2.5%.(3)Through multi-factor Logistic regression analysis,the risk of people with severely reduced PEF% is 1.14 times(95% CI: 1.07-1.23),1.33 times(95% CI: 1.14-1.55),1.48 times(95% CI: 1.21-1.81),suggesting that the history of hypertension,coronary heart disease,and stroke history are risk factors for people with severely reduced PEF%.(4)Through multi-factor Logistic regression analysis,the risk of people with severely reduced PEF% is 1.10 times(95% CI: 1.04-1.17),1.10 times(95% CI: 1.03-1.18),1.40 times(95% CI: 1.23-1.59),suggesting that high-risk objects of cardiovascular disease(high-risk population,high blood pressure type,and cardiovascular disease type)are risk factors for people with severely reduced predicted PEF%.Conclusion: Compared with non-severely reduced populations,the peak expiratory peak flow rate is significantly different from the total detection rate and detection rate of high-risk cardiovascular disease subjects.There is a certain correlation between people with severely decreased peak flow velocity,so it is necessary to pay more attention to those with severely reduced peak flow velocity.