糖尿病成年患者周围血管收缩压水平调查分析  

Investigation and Analysis of Peripheral Vascular Systolic Blood Pressure in Adult Patients with Diabetes

作　　者：朱慧娟 李峰 张妲 肖黎 刘艳省 吴丽丽 王丽丽 王玥 ZHU Huijuan;LI Feng;ZHANG Da;XIAO Li;LIU Yansheng;WU Lili;WANG Lili;WANG Yue(PLA Air Force Medical Center,Department of Endocrinology,Beijing 100142 China;PLA Air Force Medical Center,Department of nutrition,Beijing 100142 China)

机构地区：[1]空军特色医学中心内分泌科,北京100142 [2]空军特色医学中心营养科,北京100142

出　　处：《内蒙古医学杂志》2023年第7期803-807,共5页Inner Mongolia Medical Journal

摘　　要：目的通过调查糖尿病成年患者肱动脉等周围血管收缩压水平,为糖尿病合并高血压的防治提供依据。方法采用回顾性调查方法,对门诊及病房的198例糖尿病患者的一般资料(包括性别、年龄、BMI等)和两侧周围血管(包括肱动脉、胫后动脉、足背动脉)的收缩压以及踝肱指数(ABI)和趾肱指数(TBI)测量结果进行分析,并按性别、年龄不同分析其差异以及与周围血管收缩压之间的关系。结果(1)男性、女性糖尿病患者高血压检出率分别高达62.04%(85/137)和73.77%(45/61),整体检出率为65.66%(130/198);(2)胫后动脉ABI同侧相比,女性患者明显低于男性患者(P<0.05);(3)与<45岁组和45~59岁组的糖尿病患者相比,60岁以上两组患者双侧肱动脉血压、趾动脉血压和TBI水平同侧相比均有明显差异(P<0.05);(4)无论男性、女性患者,其年龄与双侧肱动脉血压均呈正相关,而与双侧趾动脉血压、足背-ABI和TBI呈负相关,女性患者的年龄与双侧胫后-ABI呈负相关,男性患者的年龄则与左侧胫后-ABI呈负相关。结论肱动脉收缩压随年龄增高而逐渐上升,60岁之后明显升高,此时趾动脉收缩压和TBI则出现明显降低,因此,糖尿病患者平时除了开展常规ABI筛查外,更应注意监测TBI、肱动脉和趾动脉收缩压的水平,有效维护全身血管健康,提高生活质量。Objective By investigating the systolic blood pressure levels of the brachial artery and other pe-ripheral vasculature in adult diabetic patients,to provide the basis for the prevention and treatment of diabetes complicated with hypertension.Methods A retrospective survey method was used to collect the general data(including gender,age,BMI,etc.)of 198 diabetic patients in outpatient clinics and wards,as well as the mea-surement results of ABI,TBI and systolic blood pressure of peripheral blood vessels(including brachial artery,posterior tibial artery and dorsal foot artery)on both sides,and the differences were analyzed by gender and age,so as to explore the relationship between gender/age and peripheral vascular systolic blood pressure.Results(1)The detection rate of hypertension in male and female diabetic patients was as high as 62.04%(85/127)and 73.77%(45/61),respectively,and the overall detection rate was 65.66%(130/198).(2)Compared with the same side of posterior tibial artery ABI,females were significantly lower than males with diabetes(P<0.05).(3)Compared with the diabetic patients in the<45-year-old group and the 45-59-year-old group,the bilateral brachial artery blood pressure,the toe artery blood pressure and the TBI level of the two groups above the age of 60 were significantly different from the ipsilateral side(P<0.05).(4)In both male and female pa-tients,age was positively correlated with bilateral brachial arterial blood pressure,but negatively correlated with bilateral digit arterial blood pressure,dorsum of foot-ABI and TBI,and age of female patients was positively correlated with bilateral posterior tibial-ABI.The age of male patients was negatively correlated with the left retrotibial-ABI.Conclusion Brachial artery systolic blood pressure gradually increases with age,and increases significantly after the age of 60,meanwhile,digit arterial systolic blood pressure and TBI decrease significantly.Therefore,in addition to routine ABI screening,diabetic patients should pay more attention to monitori

关 键 词：糖尿病 高血压 趾动脉 肱动脉 收缩压 ABI TBI 

分 类 号：R587.2[医药卫生—内分泌]