CAJ | 학술논문

目的研究糖尿病患者踝肱指数(ABI)特点及其与脑梗死发病的关系,判断早期预测价值.方法回顾性分析228例住院糖尿病患者资料,分析ABI特点,依据ABI值分为ABI正常组(ABI≥0.9)(162例)和ABI减低组(ABI ＜0.9)(66例),比较2组脑梗死患病情况.结果 2型糖尿病患者ABI减低率为28.9％(66/228);≥60岁糖尿病患者ABI减低率明显高于＜60岁患者[41.0％ (50/122)比15.1％ (16/106),P＜0.01];ABI减低组糖尿病患者的脑梗死患病率明显高于ABI正常组[54.5(36/66)比25.9％ (42/162),P＜0.01].结论 ABI减低为糖尿病患者脑梗死发生的独立危险因素,可预测脑梗死风险.
목적 연구당뇨병환자과굉지수(ABI)특점급기여뇌경사발병적관계,판단조기예측개치.방법 회고성분석228례주원당뇨병환자자료,분석ABI특점,의거ABI치분위ABI정상조(ABI≥0.9)(162례)화ABI감저조(ABI ＜0.9)(66례),비교2조뇌경사환병정황.결과 2형당뇨병환자ABI감저솔위28.9％(66/228);≥60세당뇨병환자ABI감저솔명현고우＜60세환자[41.0％ (50/122)비15.1％ (16/106),P＜0.01];ABI감저조당뇨병환자적뇌경사환병솔명현고우ABI정상조[54.5(36/66)비25.9％ (42/162),P＜0.01].결론 ABI감저위당뇨병환자뇌경사발생적독립위험인소,가예측뇌경사풍험.
Objective To study the ankle brachial index characteristics of diabetic patients with cerebral infarction,and judge the predictive value of early.Methods The clinical data of 228 cases of patients in hospital diabetes were analyzed,and the ankle brachial index in patients with diabetes mellitus were analyzed.All 228 caseswere divided into ABI normal group (ABI ≥0.9) and ABI reduced group (ABI ＜ 0.9),and the cerebral infarction incidence between two groups was compared.Results In patients with type 2 diabetes mellitus,the ABI reduction rate was 28.9％ (66/228) ; more than 60 year old diabetic ABI reduction rate was significantly higher than that in patients under 60 years of age[41.0％ (50/122) vs 15.1％ (16/106)] ; the ABI reduced group of diabetic patients with cerebral infarction incidence rate was significantly higher than that in normal ABI group [54.5％ (36/66) vs 25.9％ (42/162),P ＜0.01].Conclusion The decreased ABI is an independent risk factor for cerebral infarction in patients with diabetes,which can early predict the risk of cerebral infarction.