糖尿病合并下肢痛的动脉检查方法研究（附50例报告）  

RESEARCH ON THE DETECTION OF ARTERIAL PATENCY OF DIABETICS WITH EXTREMITIES PAIN

作　　者：叶建荣[1] 杨国华[1] 蒋俊豪[1] 

机构地区：[1]上海医科大学中山医院血管外科

出　　处：《中国现代医学杂志》1995年第2期10-11,80,共3页China Journal of Modern Medicine

摘　　要：报告糖尿病合并下肢痛５０例，通过体表动脉触诊、踝／肱指数测定和动脉造影检查发现下肢动脉阻塞性病变有１４例，占２８．０％。作者指出体表动脉触诊是最为简单的下肢动脉阻塞性病变的筛选性检查，而踝／肱指数测定是较为准确的下肢动脉阻塞性病变的客观指标，因此对糖尿病合并下肢痛依次采用体表动脉触诊、踝／肱指数测定、下肢动脉造影是准确地检出下肢动脉阻塞性病变的主要检查方法。作者认为糖尿病合并下肢痛的病因中以下肢动脉阻塞性病变的危害最大，应行手术治疗。对不同病因引起的糖尿病合并下肢痛患者，采用不同的治疗方法，内、外科医师的紧密配合显得尤为重要。Fifty cases of diabetes with extremities pain have been reported. Of the 50 cases, 14 (28. 0%) have been found inferior branch arterial occlusive lesion by arterial palpation , ankle/brachial index and arterial angiography. Arterial touching may be the easiest preliminary detection and the ankle/brachial index is an accurate detection of the arterial occlusive lesion of extremitie. Therefore, we performed arterial palpation first then the ankle/ brachial index, finally the arterial angiography. These detections are the main accurate methods of detecting arterial occlusive lesion of extremities. It is concluded that the most risk factor of the etiology of diabetes with extremities pain is the arterial occlusive lesion. If the arterial occlusive lesion of extremity has been confirmed , the operation is the treatment of choice. Different treatment method can be used for the patient of diabetes with extremities pain due to different etiology. Cooperation between surgeon and physicians is very important .

关 键 词：糖尿病 下肢痛 动脉检查 

分 类 号：R587.1[医药卫生—内分泌]