踝肱指数与2型糖尿病发生周围血管病变的相关性分析  

Correlative Analysis on Peripheral Artery Disease to the Ankle Brachial Index in Type 2 Diabetes

作　　者：吴雪艳[1] 左致煌[1] 王琼莲[1] 欧阳淑一[1] 李秀明[1] 王静[1] 姜佩佩[1] 郑立[1] 

机构地区：[1]广元市中心医院内分泌科,四川广元628000

出　　处：《川北医学院学报》2010年第3期233-234,共2页Journal of North Sichuan Medical College

摘　　要：目的:探讨踝肱指数(ABI)与2型糖尿病发生周围血管病变的相关性。方法:采用多普勒流速仪对174例2型糖尿病的踝肱指数进行测定,根据是否伴有周围血管病变分为2组,比较踝肱指数的差异;根据周围血管病变程度分为轻度和重度两组,比较其踝肱指数的差异。结果:174例2型糖尿病有周围血管病变16例,发生率9.20%。无周围血管病变的2型糖尿病的踝肱指数为0.98±0.14,明显高于有周围血管病变的2型糖尿病的踝肱指数0.76±0.13,p<0.05;重度周围血管病变的2型糖尿病的踝肱指数为0.32±0.16,明显低于轻度周围血管病变的2型糖尿病的踝肱指数0.82±0.15,p<0.05。结论:踝肱指数与2型糖尿病大血管病变发生密切相关,是2型糖尿病发生周围血管病变的有效初筛指标。Objective：To analyze the correlation of peripheral artery disease to the ankle brachial index （ABI） in type 2 diabetes. Methods：174 cases with type 2 diabetes were divided into two groups according to accompanying with peripheral angiopathy,their ABI were evaluated and compared; 16 patients with peripheral angiopathy were divided into two groups according to the degree of vascular lesion,their ABI were evaluated and compared. Results：The incidence of peripheral angiopathy in type 2 diabetes was 9.20% （16/174）. The ABI of type 2 diabetes without peripheral angiopathy was 0.98±0.14,and higher than that of the type 2 diabetes with peripheral angiopathy; The ABI of type 2 diabetes with serious peripheral angiopathy was 0.32±0.16,and lower than that of the type 2 diabetes with general peripheral angiopathy. Conclusion：ABI is closely correlated with peripheral artery disease in type 2 diabetes. It is an effective predictor for peripheral arterial occlusion disease in type 2 diabetes.

关 键 词：踝肱指数 2型糖尿病 周围血管病变 相关性 

分 类 号：R587.1[医药卫生—内分泌]