2型糖尿病住院患者踝臂指数及相关指标研究

发布时间：2019-03-10 20:46

【摘要】：目的:探讨我院2型糖尿病住院患者踝臂指数与下肢动脉疾病的关系和影响ABI的因素,预防糖尿病足发生。方法:回顾性分析2015年1月-2015年6月在我院内分泌科390例2型糖尿病住院患者的临床资料,测定踝臂指数(ABI),根据ABI分为3组,正常ABI组:0.9≤ABI1.3、低ABI组:ABI0.9、高ABI组:ABI≥1.3;根据有无LEAD分2组,LEAD组:ABI0.9、非LEAD组:0.9≤ABI1.3;根据年龄分组为3组,非老年组:年龄60岁、老年组:60岁≤年龄70岁、高龄组:年龄≥70岁。记录患者的基本信息、收集血液生化指标、并记录并发症发生情况。结果:390例患者中ABI异常者64例,低ABI(ABI0.9)54例(13.85%)、高ABI(ABI≥1.3)7例(1.79%);年龄、糖尿病病程、纤维蛋白原、吸烟是ABI的危险因素(P0.05)、糖尿病视网膜病变是ABI的独立危险因素(P0.05)。下肢血管病变的危险因素是:年龄、糖尿病病程、Fib、TC、LDL-C≥2.6mmol/L、吸烟、DR(P0.05)。结论:1.2型糖尿病患者中ABI异常率大于10%。建议糖尿病患者早期进行ABI检查,筛查糖尿病下肢并发症,预防糖尿病足的发生。2.ABI的危险因素有年龄、糖尿病病程、纤维蛋白原、吸烟、LDL-C≥2.6mmol/L,糖尿病视网膜病是独立危险因素。戒烟、改善生活方式、药物治疗可以减缓LEAD的发生。
[Abstract]:Objective: to investigate the relationship between ankle-brachial index and lower extremity artery disease in patients with type 2 diabetes mellitus in our hospital and the factors affecting ABI in order to prevent the occurrence of diabetic foot. Methods: the clinical data of 390 inpatients with type 2 diabetes mellitus in the Endocrinology Department of our hospital from January 2015 to June 2015 were retrospectively analyzed. The ankle brachial index (ABI),) was measured according to ABI and divided into 3 groups: normal ABI group (0.9 鈮，

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