踝、趾臂指数与脉搏波速度在老年2型糖尿病合并下肢动脉病变患者诊断中的价值

发布时间：2018-03-17 02:13

本文选题：老年型糖尿病　切入点：高血压病　出处：《医学与哲学(B)》2017年11期 　论文类型：期刊论文

【摘要】：探讨老年2型糖尿病患者下肢动脉病变与踝臂指数(ABI)、趾臂指数(TBI)与肱踝脉搏波速度(baPWV)的相关性。选取老年2型糖尿病患者101例,糖尿病合并高血压患者100例,另选同期体检的健康者100例作为对照组,所有患者均进行ABI、TBI、baPWV及下肢动脉血管超声检查对照组、糖尿病组、糖尿病合并高血压组三组间ABI、TBI及baPWV差异有统计学意义(P0.05)。以血管超声为金标准,ABI诊断血管狭窄的敏感性为76.34%,特异性为91.35%,TBI与ABI有较好的一致性,下肢动脉狭窄程度与ABI、TBI呈负相关(P0.05)。ABI、TBI及baPWV与老年2型糖尿病显著相关,在老年2型糖尿病及合并高血压患者有较大应用价值。ABI、TBI检查与下肢血管超声相关性好,且其操作简便,无创伤性,宜在临床上推广应用。ABI、TBI及baPWV对早期发现老年2型糖尿病患者下肢动脉粥样硬化具有重要的临床意义。
[Abstract]:To investigate the relationship between lower extremity arterial lesion and ankle brachial index (ABIN), toe arm index (TBI) and brachial pulse wave velocity (BWV) in elderly type 2 diabetes mellitus patients, 101 elderly type 2 diabetes mellitus patients and 100 patients with diabetes mellitus complicated with hypertension were selected. 100 healthy subjects were selected as control group. All the patients were examined by ABI TBIBA PWV and lower extremity artery and vascular ultrasound in control group, diabetes group, diabetes group, diabetes mellitus group, diabetes group, diabetes mellitus group, diabetic group, diabetic group, diabetic group, and diabetic group. There were significant differences in baPWV and ABIBI between the three groups of diabetic patients with hypertension (P 0.05). The sensitivity of vascular ultrasound was 76.34, and the specificity was 91.35%. There was a good consistency between ABIBI and ABI. The degree of arterial stenosis in lower extremity was negatively correlated with ABI TBI (P 0.05). ABI TBI and baPWV were significantly associated with type 2 diabetes in the elderly. It was of great application value in the elderly patients with type 2 diabetes and hypertension. ABI TBI had good correlation with lower extremity vascular ultrasound, and its operation was simple and convenient. The clinical application of. ABI TBI and baPWV has important clinical significance in the early detection of lower extremity atherosclerosis in elderly type 2 diabetes mellitus patients.
【作者单位】：大连医科大学附属第二医院心功能室;
【分类号】：R543.5;R587.1

【相似文献】