踝臂指数在老年糖尿病合并下肢动脉病患者中的临床应用  

Ankle-brachial Index in Treatment Effect Evaluation of Diabetes Mellitus and Peripheral Arterial Disease in Elderly Patient

作　　者：岳继华[1] 孙婧[1] 田军[1] 储毓舜[1] 董彦[1] 姜铁民[1] 

机构地区：[1]武警后勤学院附属医院心内科,天津300162

出　　处：《医疗卫生装备》2012年第5期63-64,共2页Chinese Medical Equipment Journal

摘　　要：目的:探讨踝臂指数(ABI)作为老年糖尿病合并下肢动脉病患者治疗效果评价指标的价值。方法:老年糖尿病合并下肢动脉病患者106例,随机分为2组:A组(单纯药物治疗组)64例,其中男性38例,女性26例,平均(74±6)岁:B组(介入治疗+药物治疗组)42例,其中男性29例,女性13例,平均(73±5)岁。详细记录每一位患者的临床资料。ABI的正常值:0.9<ABI<1.3。分别于治疗前、治疗后1个月、治疗后3个月、治疗后6个月、治疗后12个月测ABI。结果:老年糖尿病合并下肢动脉病患者治疗前ABI<0.90。B组治疗后1个月、治疗后3个月和治疗后6个月、治疗后12个月的ABI与治疗前相比均有统计学意义(P<0.05)。B组中11例患者于治疗后12月测ABI<0.90,经下肢动脉造影证实支架内再狭窄。A组治疗后1个月、治疗后3个月和治疗后6个月、治疗后12个月的ABI与治疗前相比无明显变化(P>0.05)。结论:ABI可作为评价老年糖尿病合并下肢动脉病患者治疗效果的重要手段。介入治疗比单纯药物治疗疗效显著。ObjectiTe To investigate the value of ankle-brachial index in treatment effect evaluation of peripheral arterial disease in the aged patients with type 2 diabetes mellitus.Methods One hundred and six type 2 elderly diabetics with peripheral arterial disease were divided into two groups randomly：group A（n = 64,drug treatment）,including 38 males and 26 females,average age was（74±6）;group B（n = 42,interventional therapy and drug treatment）,including 29 males and 13 females,average age was（73±5）.All the patients were checked for ABI by automatic analysis system of angiosclerosis.Each patient＇s clinical information was recorded detailedly.The normal value of ABI was 0.9 to 1.3.The ABI was measured before the treatment,and 1 month,3 months,6 months,and 12 months after the treatment respectively.Results The ABI of type 2 elderly diabetics with peripheral arterial disease was lower than 0.90 before the therapy.The ABI of group B measured 1 month,3 months,6 months,and 12 months after the treatment had significant difference with that before the treatment（P 0.05）.The ABI of 11 diabetics in group B measured 12 months after the treatment was lower than 0.90,and the in-stent restenosis was confirmed by the peripheral arteriography.The ABI of group A measured after drug treatment had no significant difference with that before the treatment（P0.05）.Conclusion ABI is significant for the treatment evaluation of type 2 elderly diabetics with peripheral arterial disease,and interventional therapy is better than drug treatment alone.

关 键 词：踝臂指数 老年 2型糖尿病 下肢动脉病 介入治疗 

分 类 号：R587.2[医药卫生—内分泌] R543.5[医药卫生—内科学]