踝臂指数评价缺血性卒中患者下肢外周动脉病多中心临床研究  

Evaluation of Lower Extremity Peripheral Arterial Disease in Hospitalized Patients with Is chaemic Stroke by Measuring the Ankle - brachial Index--A Multi - center Clinical Study

作　　者：王领军[1] 胡大一[2] 李田昌[1] 余金明[2] 布艾加尔[2] 仝其广[1] 魏毅东[1] 吴琛[1] 

机构地区：[1]首都医科大学附属同仁医院心血管中心,北京100730 [2]同济大学医学院,上海200092

出　　处：《中国医药导刊》2005年第1期27-29,共3页Chinese Journal of Medicinal Guide

摘　　要：目的:通过测量踝臂指数(ankle-brachial index,ABI)评价我国缺血性卒中(ischaemic stroke,IS)患者下肢外周动脉病(Peripheral arterial disease,PAD)的患病情况。方法:对入院的423例IS患者进行踝臂指数测定,并进行资料收集和统计学处理。结果:423例缺血性卒中患者中150例合并下肢外周动脉病(平均ABI 0.64),其中只有11例(7.3％)患者得到了明确的诊断。PAD组与非PAD组患者相比,年龄(P=0.000)和糖尿病史(P=0.001)有统计学意义,而吸烟史(P=0.154),高血压病史(P=0.179)和血脂异常(P=0.383)无统计学意义。结论:通过测量ABI确诊下肢PAD简便易行;缺血性卒中患者易合并下肢PAD;缺血性卒中合并下肢PAD多见于高龄和糖尿病患者。Objective: To access the prevalence of peripheral arterial disease (PAD) in hospitalized patients with ischaemic stroke (IS) by measuring the ankle - brachial index (ABI). Methods: Chinese patients of ischaemic stroke were invited to participate prior to hospital discharge. Data regarding ischaemic stroke risk factors, history of previous PAD, physical examination, and ABI were collected. A total of 423 patients (244 men and 179 women) were recruited. Results: 150 patients were found to have PAD (mean ABI 0.64) .Of the patients, only 11(7.3%) had previous documented PAD. There were significant differences in statistics between PAD and non - PAD group in age (P = 0.000) and diabetes mellitus (P = 0.001) . However, there were no significant differences in smoking history(P = 0.154), hypertension( P = 0.179) and dyslipidemia( P = 0.383). Conclusion: Identification of patients with PAD by measuring the an kle - brachial index is easily done. Hospitalized patients with IS are likely to have concomitant PAD. PAD in patients with IS is more popular in advanced age or diabetic patients.

关 键 词：患者 下肢 缺血性卒中 外周 动脉 多中心临床研究 诊断 合并 ABI 指数 

分 类 号：R743[医药卫生—神经病学与精神病学] R589.2[医药卫生—临床医学]