踝肱指数对糖尿病血管合并症的预测和诊断意义  

Ankle brachial index in the prediction and diagnosis of diabetic vascular complications

作　　者：邓爱民[1] 宋丹丹[1] 梁慧[1] 范艳飞[1] 刘俊伟[1] 

机构地区：[1]广州军区总医院内分泌科,510010

出　　处：《新医学》2012年第2期87-90,共4页Journal of New Medicine

摘　　要：目的:探讨踝肱指数诊断糖尿病患者血管并发症的效力,初步探讨不同踝肱指数界点对合并症预测的差异。方法:分析277例2型糖尿病患者的踝肱指数检测值,分别进行常规标准分组[≤0.90设为外周动脉疾病(PAD)组,0.91～1.30为非PAD组,>1.30为动脉硬化组]与自定标准分组(≤1.0为PAD组’,1.10～1.40为非PAD组’,>1.40为动脉硬化组’),比较不同程度踝肱指数分组间临床参数及血管并发症发生率的差异。结果:与其他组患者比较,踝肱指数≤0.9的糖尿病患者,其年龄大,病程长,餐后血糖、收缩压较高,心血管、肾脏疾病和糖尿病足发病率均明显增高;而踝肱指数≤1.0和>1.4均可能与糖尿病足的发生有关系。结论:踝肱指数与糖尿病大血管并发症的发生密切相关;临床在应用其预测糖尿病足发生时可能宜放宽诊断标准至≤1.0,以利早期预防。Objective：To investigate the influencing factors and diagnostic effectiveness of ankle brachial index（ABI） in diabetic vascular complications.Methods：The ABI value was examined in 277 patients with type 2 diabetes.Clinical data and conditions of vascular complications were compared among 3 groups with different ABI value.Results：Forty-four patients（15.9 %） with ABI ≤0.9 were at older age,with longer duration of diabetes,higher level of 2 h post-meal blood glucose and systolic blood pressure,higher incidence rates of cardiovascular disease,and renal disease and diabetic foot.Groups with ABI≤1.0 and 1.4 are both related to incidence of diabetic foot.Conclusion：ABI is closely related to diabetic macrovascular complications,and the diagnostic criteria should be adjusted to ≤1.0 especially for preventing diabetic foot.

关 键 词：踝肱指数 糖尿病足 外周动脉疾病 

分 类 号：R587.2[医药卫生—内分泌]