CAJ | 학술논문

目的探讨踝臂指数(ABI)检查在糖尿病足诊断中的应用并分析其影响因素. 方法对255例糖尿病患者进行ABI检查,分析其影响因素并与下肢血管彩色多普勒血流显像(B超)检测结果进行对照,评估ABI检查的应用价值. 结果 ABI≤0.9组与＞0.9组比较,年龄≥60岁者更多见(77.3％对53.9％,P=0.036),更易发生足部溃疡(9.1％对0.5％,P=0.026),足背动脉搏动减弱者亦明显增多(28.6％对6.4％,P＜0.001).B超检查结果显示,ABI≤0.9组下肢动脉斑块(68.2％对42.1％,P=0.019)和阻塞(45.5％对22.3％,P=0.01 6)者亦明显增多.回归分析结果显示,动脉斑块(β=1.011,P=0.037)与ABI≤0.9呈正相关. 结论 ABI能判断糖尿病患者的下肢血管情况,年龄≥60岁、体格检查足部动脉搏动减弱的糖尿病患者应定期检测ABI.
목적 탐토과비지수(ABI)검사재당뇨병족진단중적응용병분석기영향인소. 방법 대255례당뇨병환자진행ABI검사,분석기영향인소병여하지혈관채색다보륵혈류현상(B초)검측결과진행대조,평고ABI검사적응용개치. 결과 ABI≤0.9조여＞0.9조비교,년령≥60세자경다견(77.3％대53.9％,P=0.036),경역발생족부궤양(9.1％대0.5％,P=0.026),족배동맥박동감약자역명현증다(28.6％대6.4％,P＜0.001).B초검사결과현시,ABI≤0.9조하지동맥반괴(68.2％대42.1％,P=0.019)화조새(45.5％대22.3％,P=0.01 6)자역명현증다.회귀분석결과현시,동맥반괴(β=1.011,P=0.037)여ABI≤0.9정정상관. 결론 ABI능판단당뇨병환자적하지혈관정황,년령≥60세、체격검사족부동맥박동감약적당뇨병환자응정기검측ABI.
Objective To investigate the application of the ankle- brachial index(ABI) in patients with diabetic foot and analyze its influencing factors. Methods 255 patients aged (61.2 + 11.8)years with diabetic foot were evaluated by ABI and the results were compared with results of peripheral vascular Doppler ultrasound (B-ultrasound). Results ABI≤ 0.9 versus ABI＞ 0.9occurred more in age≥60 years (77.3％ vs.53.9％,P=0.036),had higher incidence of both foot ulcer (9.1％ vs.0.5％,P=0.026)and dorsalis pedis pulse weakliness (28.6％ vs.6.4％,P＜0.001)There were more arterial plaques (68.2％ vs. 42.1％,P =0.019) and occlusive (45.5％ vs.22.3％,P=0.016) in patients with ABI≤0.9 versus ABI＞0.9.The logistie regression showed that arterial plaque was positively related to ABI≤0.9 (β- 1.011,P=0.037). Conclusions ABI can be used for determining vascular stenosis in the lower limbs.Patients with age≥60 years and dorsalis pedis pulse weakened should be measured by ABI regularly.