胸阻抗法无创血流动力学检测指标与中老年2型糖尿病下肢动脉病变的相关性分析  

Analysis of Correlation Between Non-invasive Hemodynamic Monitoring Indicators Using Thoracic Electrical Bioimpedance and Lower Extremity Arterial Disease of Middle-Aged and Elderly Patients with Type 2 Diabetes Mellitus

作　　者：彭霞 张敏 张韶英[2] Peng Xia;Zhang Min;Zhang Shaoying(School of Medicine,Jianghan University,Wuhan 430056,Hubei Province,China;First Comprehensive Department,The Central Hospital of Wuhan,Wuhan 430014,Hubei Province,China)

机构地区：[1]江汉大学医学部,湖北武汉430056 [2]武汉市中心医院综合一科,湖北武汉430014

出　　处：《中国社区医师》2024年第7期89-91,共3页Chinese Community Doctors

摘　　要：目的:探讨胸阻抗法无创血流动力学检测指标与中老年2型糖尿病(T2DM)下肢动脉病变(LEAD)的相关性。方法:选取2021年12月—2022年7月武汉市中心医院收治的中老年T2DM患者158例作为研究对象,根据是否并发LEAD分为单纯T2DM组和LEAD组。比较两组一般资料,分析中老年T2DM患者发生LEAD的影响因素以及胸阻抗法无创血流动力学检测指标预测中老年T2DM患者发生LEAD的效能。结果:空腹血糖、心输出量(CO)、心脏指数(CI)、每搏外周阻力(SSVR)、每搏外周阻力指数(SSVRI)是中老年T2DM患者发生LEAD的影响因素(P<0.05)。CO、CI预测中老年T2DM患者发生LEAD的受试者操作特征曲线下总面积为0.701、0.685。结论:空腹血糖、CO、CI、SSVR及SSVRI是中老年T2DM患者发生LEAD的影响因素,且CO、CI检测对中老年T2DM合并LEAD具有一定预测价值。Objective:To explore the correlation between non-invasive hemodynamic monitoring indicators using thoracic electrical bioimpedance and lower extremity arterial disease(LEAD)of middle-aged and elderly patients with type 2 diabetes mellitus(T2DM).Methods:A total of 158 middle-aged and elderly patients with T2DM admitted to the Central Hospital of Wuhan from December 2021 to July 2022 were selected as the study subjects.They were divided into T2DM group and LEAD group according to the presence of concurrent LEAD.The general data of the two groups were compared.The influencing factors of LEAD in middle-aged and elderly T2DM patients and the diagnosis efficiency of non-invasive hemodynamic monitoring indicators using thoracic electrical bioimpedance in predicting LEAD in middle-aged and elderly T2DM patients were analyzed.Results:Fasting blood glucose,cardiac output(CO),cardiac index(CI),peripheral vascular resistance per cardiac output(SSVR)and peripheral vascular resistance index per cardiac output(SSVRI)were the influencing factors of LEAD in middle-aged and elderly patients with T2DM(P<0.05).The total area under the receiver operating characteristic curve of CO and CI in predicting LEAD in middle�aged and elderly patients with T2DM was 0.701 and 0.685.Conclusion:Fasting blood glucose,CO,CI,SSVR and SSVRI are the influencing factors of LEAD in middle-aged and elderly patients with T2DM,and the combined CO and CI detection have certain predictive value for LEAD in middle-aged and elderly patients with T2DM.

关 键 词：2型糖尿病 下肢动脉病变 胸阻抗法无创血流动力学 

分 类 号：R447[医药卫生—诊断学]