中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
1期
4-6
,共3页
糖尿病,2型%踝肱指数%微血管病变
糖尿病,2型%踝肱指數%微血管病變
당뇨병,2형%과굉지수%미혈관병변
Diabetes mellitus,type 2%Ankle brachial index%Microvascular lesions
目的 探讨高踝肱指数(ABI)与糖尿病患者微血管并发症发生的相关性.方法 选择2009年3月至2012年3月就诊的2型糖尿病患者共1360例,均行ABI测定,按ABI水平分为ABI＜ 0.7组、ABI 0.7～0.9组、0.9＜ ABI≤1.3组以及ABI＞ 1.3组,对ABI与糖尿病患者微血管并发症发生的关系进行单因素分析和Logistic回归分析.结果 0.9＜ ABI≤1.3组患者1260例,ABI＜0.7组患者20例,ABI 0.7 ～ 0.9组患者60例,ABI＞ 1.3组患者20例.Logistic回归分析显示与ABI高水平相关的因素是吸烟和收缩压(P＜0.05).而ABI高水平与微血管并发症糖尿病肾脏病变、糖尿病周围神经病变和糖尿病视网膜病变无明显相关性.结论 无糖尿病大血管病变的2型糖尿病患者,ABI高水平并没有增加动脉粥样硬化的危险,且不增加微血管并发症发生率.
目的 探討高踝肱指數(ABI)與糖尿病患者微血管併髮癥髮生的相關性.方法 選擇2009年3月至2012年3月就診的2型糖尿病患者共1360例,均行ABI測定,按ABI水平分為ABI＜ 0.7組、ABI 0.7～0.9組、0.9＜ ABI≤1.3組以及ABI＞ 1.3組,對ABI與糖尿病患者微血管併髮癥髮生的關繫進行單因素分析和Logistic迴歸分析.結果 0.9＜ ABI≤1.3組患者1260例,ABI＜0.7組患者20例,ABI 0.7 ～ 0.9組患者60例,ABI＞ 1.3組患者20例.Logistic迴歸分析顯示與ABI高水平相關的因素是吸煙和收縮壓(P＜0.05).而ABI高水平與微血管併髮癥糖尿病腎髒病變、糖尿病週圍神經病變和糖尿病視網膜病變無明顯相關性.結論 無糖尿病大血管病變的2型糖尿病患者,ABI高水平併沒有增加動脈粥樣硬化的危險,且不增加微血管併髮癥髮生率.
목적 탐토고과굉지수(ABI)여당뇨병환자미혈관병발증발생적상관성.방법 선택2009년3월지2012년3월취진적2형당뇨병환자공1360례,균행ABI측정,안ABI수평분위ABI＜ 0.7조、ABI 0.7～0.9조、0.9＜ ABI≤1.3조이급ABI＞ 1.3조,대ABI여당뇨병환자미혈관병발증발생적관계진행단인소분석화Logistic회귀분석.결과 0.9＜ ABI≤1.3조환자1260례,ABI＜0.7조환자20례,ABI 0.7 ～ 0.9조환자60례,ABI＞ 1.3조환자20례.Logistic회귀분석현시여ABI고수평상관적인소시흡연화수축압(P＜0.05).이ABI고수평여미혈관병발증당뇨병신장병변、당뇨병주위신경병변화당뇨병시망막병변무명현상관성.결론 무당뇨병대혈관병변적2형당뇨병환자,ABI고수평병몰유증가동맥죽양경화적위험,차불증가미혈관병발증발생솔.
Objective To explore the correlation between high ankle brachial index (ABI) and microvascular complications in patients with diabetes.Methods A total of 1360 patients with type 2 diabetes mellitus were selected from March 2009 to March 2012.ABI test was performed in all the patients.The patients were divided into ABI ＜ 0.7 group,ABI 0.7-0.9 group,0.9 ＜ ABI ≤ 1.3 group and ABI ＞ 1.3group according to the ABI level.The correlation between ABI and microvascular complications in patients of type 2 diabetes mellitus was analyzed by single factor analysis and Logistic regression analysis.Results A total of 1260 patients were in 0.9 ＜ABI ≤1.3 group,20 patients in ABI ＜0.7 group,60 patients in ABI 0.7-0.9 group,and 20 patients in ABI ＞ 1.3 group.Logistic regression analysis showed that related factors of the high ABI level were smoking and systolic blood pressure (P ＜ 0.05).The high ABI level showed no correlation with microvascular complications such as diabetic nephropathy,diabetic perineuropathy and diabetic retinopathy.Conclusion In patients with type 2 diabetes mellitus and without diabetic macroangiopathy,the high ABI level does not increase the risk of atherosclerosis and the incidence of microvascular complications.
