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邹黎. 踝肱指数诊断糖尿病下肢动脉病变的临床意义[J]. 实用临床医药杂志, 2011, (17): 37-39. DOI: 10.3969/j.issn.1672-2353.2011.17.012
引用本文: 邹黎. 踝肱指数诊断糖尿病下肢动脉病变的临床意义[J]. 实用临床医药杂志, 2011, (17): 37-39. DOI: 10.3969/j.issn.1672-2353.2011.17.012
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ZOU Li. The clinical significance of ankle-brachial index in diagnosing lower extremity artery disease in diabetic patients[J]. Journal of Clinical Medicine in Practice, 2011, (17): 37-39. DOI: 10.3969/j.issn.1672-2353.2011.17.012
Citation: ZOU Li. The clinical significance of ankle-brachial index in diagnosing lower extremity artery disease in diabetic patients[J]. Journal of Clinical Medicine in Practice, 2011, (17): 37-39. DOI: 10.3969/j.issn.1672-2353.2011.17.012
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踝肱指数诊断糖尿病下肢动脉病变的临床意义

The clinical significance of ankle-brachial index in diagnosing lower extremity artery disease in diabetic patients

    摘要
  • 摘要: 目的 了解踝肱指数(ABJ)在诊断2型糖尿病(T2DM)患者下肢动脉病变中的意义及影响因素.方法 选择300例T2DM患者,测定足背动脉与肱动脉的比值,有1侧ABI＜0.9即纳入低ABI组,2侧ABI均≥0.9者为对照组.比较2组体重指数(BMI)、腰臀比(WHR)、餐后2h血糖(2hPG)、糖化血红蛋白(HbA1c),以及相关血脂水平.结果 ABI＜0.9者78例(低ABI组),ABI＞0.9者222例(对照组).2组年龄、糖尿病病程、TG、LDL-C、舒张压、2hPG差异有统计学意义；2组性别比、BMI、WHR、收缩压、TC、HDL-C无统计学差异.逐步回归分析显示:年龄、病程、LDL-C是影响ABI的独立因素.结论 ABI是诊断糖尿病患者下肢动脉病变的可靠指标.下肢动脉硬化加剧的主要因素为年高龄、病程长、脂代谢紊乱及高血糖.

     

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