介入放射学诊治糖尿病性外周动脉病变的价值  

Value of Interventional Radiology in the Diagnosis and Treatment of Diabetic Peripheral Arterial Disease

作　　者：曹积善 Cao Jishan(Delingha City Haixi Prefecture People's Hospital,Delingha 817099,Qinghai Province,China)

机构地区：[1]德令哈市海西州人民医院,青海德令哈817099

出　　处：《中外医药研究》2024年第2期63-65,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探究介入放射学诊治糖尿病性外周动脉病变(PAD)的价值。方法:选取2019年10月-2022年10月在海西州人民医院就诊的PAD患者60例作为研究对象,以随机数字表法分为对照组和观察组,各30例。对照组采用彩色多普勒超声检查联合药物进行治疗,观察组采用介入放射学进行诊治。比较两组空腹血糖、餐后2h血糖、糖化血红蛋白、治疗效果、经皮血氧分压。结果:治疗后,观察组空腹血糖、餐后2h血糖、糖化血红蛋白水平低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率高于对照组,差异有统计学意义(P=0.006);治疗后6周,两组卧位时、坐位时、活动后经皮血氧分压均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:介入放射学在PAD的诊断和治疗中应用效果较好,可以明显改善患者的血糖指标,提高治疗效果,改善下肢缺血状态,值得临床推广。Objective:To explore the value of interventional radiology in the diagnosis and treatment of diabetic peripheral arterial disease(PAD).Method:A total of 60 patients with PAD were selected as the study objects in Haixi Prefecture People's Hospital from October 2019 to October 2022,and were divided into control group and observation group by random number table method,with 30 patients in each group.The control group was treated with color Doppler ultrasonography combined with drugs,and the ob-servation group was treated with interventional radiology.Fasting blood glucose,2-hour postprandial blood glucose,glycated he-moglobin,therapeutic effect and percutaneous partial pressure of blood oxygen were compared between the two groups.Results:After treatment,the fasting blood glucose,2-hour postprandial blood glucose,and glycated hemoglobin levels in the observation group were lower than before treatment,and the observation group were lower than these in the control group,the difference was statistically significant(P<0.05);the total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.006);6 weeks after treatment,the percutaneous partial pressure of blood oxygen of both groups increased when lying down,sitting and after activity,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion:Interventional radiology has a good application ef-fect in the diagnosis and treatment of PAD.It can significantly improve patients'blood glucose indicators,enhance treatment ef-fects,and improve lower limb ischemia.It is worthy of clinical promotion and application.

关 键 词：介入放射学 糖尿病性外周动脉病变 经皮腔内血管成形术 支架置入术 

分 类 号：R587.2[医药卫生—内分泌]