男性高齡職業駕駛人心血管疾病之相關因子

Factors Associated with Cardiovascular Diseases in Senior Male Professional Drivers

10.6200/TCMJ.201903_16(1).0006

陳鏡任(Jing-Renn Chen)；陳美如(Mei-Ju Chen)

男性高齡職業駕駛人 ； 心血管疾病 ； Framingham風險評分（FRS） ； male senior professional driver ； cardiovascular disease ； Framingham risk score (FRS)

北市醫學雜誌

16卷1期（2019 / 03 / 30）

51 - 59

繁體中文

目的：探討高齡職業駕駛人（68－70歲）心血管疾病相關危險因子，提供醫師較佳評估高齡駕駛安全性的臨床判斷。方法：本研究收集高齡職業駕駛人的完整病歷，吸菸史，年齡，身高，體重，血壓，血液生化尿液檢驗結果，運動心電圖判讀結果。結果：本研究收集318位接受高齡職業駕駛體格檢查者。其中心血管疾病風險與相關因子之描述性統計分析中腰圍（p＜0.001），尿糖（p＜0.01），尿蛋白（p＜0.05）皆具有顯著統計上的意義，運動心電圖p值=0.46則無統計學上意義。結論：影響男性高齡職業駕駛人心血管疾病之相關危險因子包括腰圍，尿糖，尿蛋白。運動心電圖和預測高齡駕駛的心血管疾病無明顯相關性。

Objective: To explore the risk factors associated with cardiovascular disease among senior drivers (68-70 years old) and provide physicians a better clinical assessment of the safety of older driving. Methods: Complete medical records, smoking history, age, height, weight, blood pressure, blood biochemistry, urine test results, and exercise ECG of senior drivers were collected. Results: A total of 318 drivers underwent senior professional driving physical examination were recruited in this study. Waist circumference (p＜0.001), urine glucose (p＜0.01), and urine protein (p＜0.05) were significantly associated with the risk of cardiovascular disease. No association was found between exercise ECG and cardiovascular disease. Conclusions: Waist circumference, urine sugar, and urine protein increased the risk of cardiovascular disease in older male drivers.