【摘要】：目的:探討我院2型糖尿病住院患者踝臂指數(shù)與下肢動脈疾病的關(guān)系和影響ABI的因素,預(yù)防糖尿病足發(fā)生。方法:回顧性分析2015年1月-2015年6月在我院內(nèi)分泌科390例2型糖尿病住院患者的臨床資料,測定踝臂指數(shù)(ABI),根據(jù)ABI分為3組,正常ABI組:0.9≤ABI1.3、低ABI組:ABI0.9、高ABI組:ABI≥1.3;根據(jù)有無LEAD分2組,LEAD組:ABI0.9、非LEAD組:0.9≤ABI1.3;根據(jù)年齡分組為3組,非老年組:年齡60歲、老年組:60歲≤年齡70歲、高齡組:年齡≥70歲。記錄患者的基本信息、收集血液生化指標(biāo)、并記錄并發(fā)癥發(fā)生情況。結(jié)果:390例患者中ABI異常者64例,低ABI(ABI0.9)54例(13.85%)、高ABI(ABI≥1.3)7例(1.79%);年齡、糖尿病病程、纖維蛋白原、吸煙是ABI的危險因素(P0.05)、糖尿病視網(wǎng)膜病變是ABI的獨立危險因素(P0.05)。下肢血管病變的危險因素是:年齡、糖尿病病程、Fib、TC、LDL-C≥2.6mmol/L、吸煙、DR(P0.05)。結(jié)論:1.2型糖尿病患者中ABI異常率大于10%。建議糖尿病患者早期進(jìn)行ABI檢查,篩查糖尿病下肢并發(fā)癥,預(yù)防糖尿病足的發(fā)生。2.ABI的危險因素有年齡、糖尿病病程、纖維蛋白原、吸煙、LDL-C≥2.6mmol/L,糖尿病視網(wǎng)膜病是獨立危險因素。戒煙、改善生活方式、藥物治療可以減緩LEAD的發(fā)生。
[Abstract]:Objective: to investigate the relationship between ankle-brachial index and lower extremity artery disease in patients with type 2 diabetes mellitus in our hospital and the factors affecting ABI in order to prevent the occurrence of diabetic foot. Methods: the clinical data of 390 inpatients with type 2 diabetes mellitus in the Endocrinology Department of our hospital from January 2015 to June 2015 were retrospectively analyzed. The ankle brachial index (ABI),) was measured according to ABI and divided into 3 groups: normal ABI group (0.9 鈮，

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