海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2015年
15期
2243-2245
,共3页
糖尿病足%溃疡%下肢血管超声检查%踝臂指数%疗效
糖尿病足%潰瘍%下肢血管超聲檢查%踝臂指數%療效
당뇨병족%궤양%하지혈관초성검사%과비지수%료효
Diabetic foot%Ulcer%Lower extremity vascular ultrasound%Ankle brachial index%Curative effect
目的：探讨糖尿病足溃疡患者下肢血管超声检查结果与其临床治疗效果的关系。方法选取本院2011年9月至2013年12月收治的200例糖尿病足溃疡患者，并采用下肢血管超声检查对其进行检查，根据检查结果分为A、B、C、D四组，比较四组患者的血脂血糖水平、踝臂指数(Ankle arm index，ABI)、治愈率等指标的差异。结果四组患者的基线血清总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)、糖化血红蛋白(HbA1c)、空腹血糖(FBG)测定值比较差异均无统计学意义(P>0.05)。A组患者的ABI值为(0.86±0.12)、B组为(0.69±0.08)、C组为(0.54±0.09)、D组为(0.42±0.07)，四组间ABI值比较差异具有统计学意义(F=18.122，P=0.000<0.05)，四组间两两比较差异均具有统计学意义(P<0.05)。A组患者的总有效率为100%，B组为96.83%，C组为92.86%，D组为10.71%，四组间治疗总有效率比较差异具有统计学意义(P<0.05)，A、B、C三组总有效率组间两两比较差异均无统计学意义(P>0.05)，A、B、C三组的总有效率均明显高于D组，差异具有统计学意义(P<0.05)。结论糖尿病足溃疡患者的下肢血管超声检查存在明显异常，且与病情程度有一定的关系，根据超声检测分组可以对患者治疗预后进行判定。
目的：探討糖尿病足潰瘍患者下肢血管超聲檢查結果與其臨床治療效果的關繫。方法選取本院2011年9月至2013年12月收治的200例糖尿病足潰瘍患者，併採用下肢血管超聲檢查對其進行檢查，根據檢查結果分為A、B、C、D四組，比較四組患者的血脂血糖水平、踝臂指數(Ankle arm index，ABI)、治愈率等指標的差異。結果四組患者的基線血清總膽固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)、糖化血紅蛋白(HbA1c)、空腹血糖(FBG)測定值比較差異均無統計學意義(P>0.05)。A組患者的ABI值為(0.86±0.12)、B組為(0.69±0.08)、C組為(0.54±0.09)、D組為(0.42±0.07)，四組間ABI值比較差異具有統計學意義(F=18.122，P=0.000<0.05)，四組間兩兩比較差異均具有統計學意義(P<0.05)。A組患者的總有效率為100%，B組為96.83%，C組為92.86%，D組為10.71%，四組間治療總有效率比較差異具有統計學意義(P<0.05)，A、B、C三組總有效率組間兩兩比較差異均無統計學意義(P>0.05)，A、B、C三組的總有效率均明顯高于D組，差異具有統計學意義(P<0.05)。結論糖尿病足潰瘍患者的下肢血管超聲檢查存在明顯異常，且與病情程度有一定的關繫，根據超聲檢測分組可以對患者治療預後進行判定。
목적：탐토당뇨병족궤양환자하지혈관초성검사결과여기림상치료효과적관계。방법선취본원2011년9월지2013년12월수치적200례당뇨병족궤양환자，병채용하지혈관초성검사대기진행검사，근거검사결과분위A、B、C、D사조，비교사조환자적혈지혈당수평、과비지수(Ankle arm index，ABI)、치유솔등지표적차이。결과사조환자적기선혈청총담고순(TC)、감유삼지(TG)、고밀도지단백(HDL-C)、저밀도지단백(LDL-C)、당화혈홍단백(HbA1c)、공복혈당(FBG)측정치비교차이균무통계학의의(P>0.05)。A조환자적ABI치위(0.86±0.12)、B조위(0.69±0.08)、C조위(0.54±0.09)、D조위(0.42±0.07)，사조간ABI치비교차이구유통계학의의(F=18.122，P=0.000<0.05)，사조간량량비교차이균구유통계학의의(P<0.05)。A조환자적총유효솔위100%，B조위96.83%，C조위92.86%，D조위10.71%，사조간치료총유효솔비교차이구유통계학의의(P<0.05)，A、B、C삼조총유효솔조간량량비교차이균무통계학의의(P>0.05)，A、B、C삼조적총유효솔균명현고우D조，차이구유통계학의의(P<0.05)。결론당뇨병족궤양환자적하지혈관초성검사존재명현이상，차여병정정도유일정적관계，근거초성검측분조가이대환자치료예후진행판정。
Objective To discuss the relationship between lower extremity vascular ultrasound results of pa-tients with diabetic foot ulcer (DFU) and clinical therapeutic effect. Methods Two hundred patients with diabetic foot ulcer in our hospital from September 2011 to December 2013 were selected and received lower limb vascular ul-trasound examination. The patients were divided into four groups according to the examination results:group A, group B, group C, and group D. The levels of blood lipids, blood sugar, ankle brachial index (ABI), and the cure rate indexes were analyzed and compared between the four groups. Results There was no statistically significant difference be-tween the four groups in baseline total cholesterol (TC), triglyceride (TG), high density lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL-C), HbA1c, fasting blood glucose (FBG), P>0.05. The ABI value was (0.86±0.12) in group A, (0.69±0.08) in group B, (0.54±0.09) in group C, (0.42±0.07) in group D, with statistically significant differences among the four groups (F=18.122, P=0.000<0.05) and between each two among the four groups (P<0.05). The total effective rate was 100% in group A, 96.83% in group B, 92.86% in group C, 10.71% in group D, with statistically significant differences among the four groups (P<0.05) and between group A, B, C (P>0.05). The total effective rates of group A, B, C were significantly higher than the rate in group D, and the differences were statistically significant (P<0.05). Conclusion Patients with diabetic foot ulcer show significant difference in lower limb vascular ultrasound, and the ultrasonic findings have certain relationships with the degree of the disease. The ultrasonic testing grouping can be used for evaluating the prognosis of patients.
