中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
13期
180-182
,共3页
糖尿病足%踝肱指数%预防和控制%危险因素%血红蛋白
糖尿病足%踝肱指數%預防和控製%危險因素%血紅蛋白
당뇨병족%과굉지수%예방화공제%위험인소%혈홍단백
Diabetic foot%Ankle brachial index%Prevention and control%Risk factor%Hemoglobin
目的：对2型糖尿病足高危患者的踝肱指数和糖尿病足的发生率关系进行分析，同时对相关的危险因素进行探讨，以期对糖尿病足的发生早期采取有效的措施。方法对我院收治的已经确诊的438例2型糖尿病患者进行研究，其中391例为非糖尿病足组，47例为糖尿病足组，所有的患者都要进行糖化血红蛋白、总胆固醇、甘油三酯等生化资料、踝肱指数的检查，对两组的临床检查资料和不同踝肱指数组的糖尿病患者数的差异进行比较。结果两组患者踝肱指数与患者病程、收缩压、糖尿病肾病发生率、视网膜病变发生率呈负相关（P均＜0.01）；不同的踝肱指数和糖尿病足组的患病率比较，踝肱指数和糖尿病足组的患病率类似“U”型分布，踝肱指数＞1.31组中糖尿病足组的患者发病率为18.1%；0.9＜踝肱指数≤1.3组的发病率为26.0%；0.7＜踝肱指数≤0.9组的发病率为32.5%；0.5＜踝肱指数≤0.7组的发病率为47.6%；而踝肱指数≤0.5组中的糖尿病足患者发病率达到64.29%，各组患病率进行比较有明显的差异。结论踝肱指数和糖尿病足呈负相关，踝肱指数减低或是出现异常的升高能对早期糖尿病足的发生进行预测，对踝肱指数异常的糖尿病足高危患者要采用积极有效的干预措施。
目的：對2型糖尿病足高危患者的踝肱指數和糖尿病足的髮生率關繫進行分析，同時對相關的危險因素進行探討，以期對糖尿病足的髮生早期採取有效的措施。方法對我院收治的已經確診的438例2型糖尿病患者進行研究，其中391例為非糖尿病足組，47例為糖尿病足組，所有的患者都要進行糖化血紅蛋白、總膽固醇、甘油三酯等生化資料、踝肱指數的檢查，對兩組的臨床檢查資料和不同踝肱指數組的糖尿病患者數的差異進行比較。結果兩組患者踝肱指數與患者病程、收縮壓、糖尿病腎病髮生率、視網膜病變髮生率呈負相關（P均＜0.01）；不同的踝肱指數和糖尿病足組的患病率比較，踝肱指數和糖尿病足組的患病率類似“U”型分佈，踝肱指數＞1.31組中糖尿病足組的患者髮病率為18.1%；0.9＜踝肱指數≤1.3組的髮病率為26.0%；0.7＜踝肱指數≤0.9組的髮病率為32.5%；0.5＜踝肱指數≤0.7組的髮病率為47.6%；而踝肱指數≤0.5組中的糖尿病足患者髮病率達到64.29%，各組患病率進行比較有明顯的差異。結論踝肱指數和糖尿病足呈負相關，踝肱指數減低或是齣現異常的升高能對早期糖尿病足的髮生進行預測，對踝肱指數異常的糖尿病足高危患者要採用積極有效的榦預措施。
목적：대2형당뇨병족고위환자적과굉지수화당뇨병족적발생솔관계진행분석，동시대상관적위험인소진행탐토，이기대당뇨병족적발생조기채취유효적조시。방법대아원수치적이경학진적438례2형당뇨병환자진행연구，기중391례위비당뇨병족조，47례위당뇨병족조，소유적환자도요진행당화혈홍단백、총담고순、감유삼지등생화자료、과굉지수적검사，대량조적림상검사자료화불동과굉지수조적당뇨병환자수적차이진행비교。결과량조환자과굉지수여환자병정、수축압、당뇨병신병발생솔、시망막병변발생솔정부상관（P균＜0.01）；불동적과굉지수화당뇨병족조적환병솔비교，과굉지수화당뇨병족조적환병솔유사“U”형분포，과굉지수＞1.31조중당뇨병족조적환자발병솔위18.1%；0.9＜과굉지수≤1.3조적발병솔위26.0%；0.7＜과굉지수≤0.9조적발병솔위32.5%；0.5＜과굉지수≤0.7조적발병솔위47.6%；이과굉지수≤0.5조중적당뇨병족환자발병솔체도64.29%，각조환병솔진행비교유명현적차이。결론과굉지수화당뇨병족정부상관，과굉지수감저혹시출현이상적승고능대조기당뇨병족적발생진행예측，대과굉지수이상적당뇨병족고위환자요채용적겁유효적간예조시。
ObjectiveTo understand the relationship between the ankle brachial index and diabetic foot in patients at high risk of type 2 diabetic foot and also discuss the related risk factors, in order to propose the effective measures for the early development of diabetic foot.Methods438 patients diagnosed as type 2 diabetes in this hospital were studied, including 391 patients with non-diabetic foot and 47 patients with diabetic foot.All patients received the examination of biochemical information of glycosylated hemoglobin,total cholesterol and triglyceride,as well as ankle brachial index. The clinical examination data of two groups and the difference in the number of diabetic patients with the different ankle brachial index were compared.Results Contraction of two group patients with ankle brachial index, pressure, course of disease in patients with diabetic nephropathy were positive, the incidence of retinopathy(P all<0.01),different ankle brachial index and the prevalence of diabetic foot group comparison, ankle brachial index and diabetic foot group the prevalence of similar "U" type of division, ankle brachial index greater than 1.31 in patients with diabetic foot group the incidence rate was 18.1%;the incidence of 0.9<ABI≤1.3 group was 26%;the incidence of 0.7<ABI≤0.9 group was 32.5%;the incidence of 0.5<ABI≤0.7 group was 47.6%;and the ankle brachial index≤0.5 in the group of patients with diabetic foot disease incidence rate reached 64.29%,the prevalence rate were significantly different. Conclusion Ankle brachial index is negatively related to diabetic foot, ankle brachial index decrease or abnormal rise in early diabetic foot is predicted to occur, patients at high risk for diabetic foot ankle brachial index anomaly to adopt active and effective intervention measures.
