实用临床医学
實用臨床醫學
실용림상의학
Practical Clinical Medicine
2014年
6期
11-13
,共3页
踝臂指数%糖尿病%下肢外周动脉病变
踝臂指數%糖尿病%下肢外週動脈病變
과비지수%당뇨병%하지외주동맥병변
ankle-brachial index%diabetes%lower extremity peripheral arterial disease
目的：探讨糖尿病患者运动后测定踝臂指数（ABI）对其下肢外周动脉病变（PAD）的诊断意义和价值。方法将90例糖尿病患者按适量运动后测定ABI的不同分为PAD组（66例）和非PAD组（24例），对运动后2组患者ABI与血管造影及彩超检查的准确率及各项临床指标（年龄、BMI、血压、BUN、HbAlc、Cr、FCP、TC、UA、 TG、HDL-L）进行分析比较。结果 PAD组经ABI测定均提示有动脉狭窄，经血管造影及彩超检查证实63例有动脉狭窄，诊断正确率为95.45%；非PAD组经ABI测定均提示动脉正常，经血管造影及彩超检查证实9例有动脉狭窄，诊断准确率为62.5%。2组ABI诊断准确率比较差异有统计学意义（字2=12.57，P=0.032）。 PAD组的临床各项指标均高于非PAD组，其中年龄、SBP、DBP、HbAlc、TC、UA及TG等比较差异均有统计学意义（均P＜0.05）。结论运动后ABI测定是一种诊断糖尿病患者有无下肢外周动脉病变的可靠手段，可作为早期诊断PAD的常规检查方法。
目的：探討糖尿病患者運動後測定踝臂指數（ABI）對其下肢外週動脈病變（PAD）的診斷意義和價值。方法將90例糖尿病患者按適量運動後測定ABI的不同分為PAD組（66例）和非PAD組（24例），對運動後2組患者ABI與血管造影及綵超檢查的準確率及各項臨床指標（年齡、BMI、血壓、BUN、HbAlc、Cr、FCP、TC、UA、 TG、HDL-L）進行分析比較。結果 PAD組經ABI測定均提示有動脈狹窄，經血管造影及綵超檢查證實63例有動脈狹窄，診斷正確率為95.45%；非PAD組經ABI測定均提示動脈正常，經血管造影及綵超檢查證實9例有動脈狹窄，診斷準確率為62.5%。2組ABI診斷準確率比較差異有統計學意義（字2=12.57，P=0.032）。 PAD組的臨床各項指標均高于非PAD組，其中年齡、SBP、DBP、HbAlc、TC、UA及TG等比較差異均有統計學意義（均P＜0.05）。結論運動後ABI測定是一種診斷糖尿病患者有無下肢外週動脈病變的可靠手段，可作為早期診斷PAD的常規檢查方法。
목적：탐토당뇨병환자운동후측정과비지수（ABI）대기하지외주동맥병변（PAD）적진단의의화개치。방법장90례당뇨병환자안괄량운동후측정ABI적불동분위PAD조（66례）화비PAD조（24례），대운동후2조환자ABI여혈관조영급채초검사적준학솔급각항림상지표（년령、BMI、혈압、BUN、HbAlc、Cr、FCP、TC、UA、 TG、HDL-L）진행분석비교。결과 PAD조경ABI측정균제시유동맥협착，경혈관조영급채초검사증실63례유동맥협착，진단정학솔위95.45%；비PAD조경ABI측정균제시동맥정상，경혈관조영급채초검사증실9례유동맥협착，진단준학솔위62.5%。2조ABI진단준학솔비교차이유통계학의의（자2=12.57，P=0.032）。 PAD조적림상각항지표균고우비PAD조，기중년령、SBP、DBP、HbAlc、TC、UA급TG등비교차이균유통계학의의（균P＜0.05）。결론운동후ABI측정시일충진단당뇨병환자유무하지외주동맥병변적가고수단，가작위조기진단PAD적상규검사방법。
Objective To explore the diagnostic significance and value of post-exercise ankle-brachial index (ABI) in diabetic lower extremity peripheral arterial disease (PAD). Methods According to post-exercise ABI, 90 diabetes patients were divided into PAD group(n=66)and non-PAD group (n=24). The accuracy of ABI and clinical indicators (age, BMI, blood pressure, BUN, HbAlc, Cr, FCP, TC, UA, TG and HDL-L) werer compared between the two groups after exercise. Results In PDA group, ABI showed that all patients had artery stenosis, which was confirmed by angiography and ultrasonography in 63 patients. In non-PAD group, ABI showed normal arteries in all patients, but angiography and ultrasonography showed artery stenosis in 9 patients. The correct diagnostic rate in PDA group (95.45%) was significantly higher than that in non-PAD group (62.5%) (P<0.05). In addition, clinical indicators in PAD group were higher than those in non-PAD group after exercise. Among them, differences in the age, SBP, DBP, HbAlc, TC, UA and TG were obvious between the two groups (P<0.05). Conclusion The detemination of post-exercise ABI is a reliable means and can be used as a routine examination method for early diagnosis of lower extremity PAD in patients with diabetes.
