踝臂指数在老年下肢外周动脉病患者治疗中的临床意义  

Clinical application on the ankle-brachial index in the treatment of peripheral arterial disease in aged patients

作　　者：孙婧[1] 刘军翔[1] 赵季红[1] 周欣[1] 姜铁民[1] 李玉明[1] 

机构地区：[1]武警后勤学院附属医院心脏中心,天津300162

出　　处：《武警后勤学院学报（医学版）》2014年第4期287-289,共3页Journal of Logistics University of PAP（Medical Sciences）

摘　　要：【目的】探讨踝臂指数(ankle-brachial index,ABI)在老年下肢外周动脉病患者治疗中应用的临床意义。【方法】老年下肢外周动脉病患者142例,分为2组:A组(单纯药物治疗组)85例,B组(介入治疗+药物治疗组)57例。A组和B组所有病例联合使用瑞舒伐他汀(10 mg/d)、福辛普利钠(10 mg/d)、西洛他唑(200 mg/d)、拜阿司匹林(100 mg/d),连续用药至少12个月。详细记录每位患者的临床资料。并分别于治疗前、治疗后1、3、6、12个月测ABI。【结果】老年下肢外周动脉病患者治疗前ABI<0.90。B组治疗后1、3、6、12个月的ABI较治疗前明显提高(P<0.05)。A组治疗后1、3、6、12个月的ABI与治疗前相比无明显变化(P>0.05)。【结论】ABI是早期诊断老年下肢外周动脉病的无创检查方法,应成为治疗中的常规检查以评估和指导治疗。[Objective] To investigate the clinical application of ankle-brachial index in the treatment of peripheral arterial disease in aged patients. [Methods] 142 aged patients with peripheral arterial disease were divided into two groups randomly, groupA（n = 85, drug treatment）, groupB（n = 57, interventional therapy and drug treatment）. All the patients were checked for ABI by automatic analysis system of angiosclerosis. [ Results] ABI 〈 0.90 in old patients with peripheral arterial disease before therapy. ABI was not increased in aged patients with peripheral arterial disease after interventional therapy and drug treatment（P 〈 0.05）. ABI is non-increased in old tients with peripheral arterial disease after drug treatment（P 〉 0.05）. [Conclusion] ABI is significant in aged patients with peripheral arterial disease who had taken the interventional therapy.

关 键 词：踝臂指数 下肢外周动脉病 介入治疗 

分 类 号：R543.5[医药卫生—心血管疾病]