ABI、baPWV、UT指标与下肢动脉硬化闭塞症的相关性及在手术疗效评估中的应用价值  

Correlations between ABI,baPWV,UT and lower extremity arteriosclerosis obliterans and their application value in assessing surgical efficacy

作　　者：张雨 周立静 郭楠 陈庆友 Zhang Yu;Zhou Lijing;Guo Nan;Chen Qingyou(The Third Hospital Affiliated to Qiqihar Medical University,Qiqihar,Heilongjiang 161000,China)

机构地区：[1]齐齐哈尔医学院附属第三医院,黑龙江齐齐哈尔161000

出　　处：《齐齐哈尔医学院学报》2024年第15期1418-1422,共5页Journal of Qiqihar Medical University

基　　金：黑龙江省卫生健康委科研课题(20210909040376)。

摘　　要：目的探讨ABI、baPWV、UT指标与下肢动脉闭塞症(arteriosclerosisobliterans,ASO)的关系,并研究其在手术疗效评估中的作用。方法选择2020年1月—2022年1月本院收治的94例ASO患者作为观察组,另选取同期体检健康人员30名作为对照组。所有研究对象均具备完整临床资料及影像学检查资料。观察组患者均接受药物球囊扩张术或动脉内支架植入术指征治疗。结果术前观察组ABI值、baPWV、UT指标与对照组比较存在明显差异(P<0.05),但术后3个月、术后6个月时观察组ABI值、baPWV、UT较术前明显改善(P<0.05),且术后3个月、术后6个月时观察组ABI值、baPWV、UT与对照组比较,差异无统计学意义(P>0.05)。术后6个月时对观察组患者手术治疗效果进行评价,其中治疗显效39例,有效48例,无效7例,按不同疗效分类患者术前、术后3个月、术后6个月时ABI、baPWV、UT参数比较均存在明显差异(P<0.05)。结论下肢动脉硬化闭塞症患者由于血管的病理改变导致其ABI、baPWV、UT指标存在异常变化,而通过外周血管功能检测ABI、baPWV、UT指标不仅能够明确下肢动脉硬化闭塞症患者术前病情,同时有利于术后疗效的动态评估,对指导术后康复以及跟进治疗等均具有重要意义。Objective To explore the relationship between ABI,baPWV,UT indicators and lower limb arteriosclerosis obliterans(ASO),and to investigate their role in the evaluation of surgical efficacy.Methods 94 patients suffering from ASO who were treated in our hospital from January 2020 to January 2022 were selected as the observation group,and 30 healthy individuals who underwent physical examination during the same period in our hospital were selected as the control group.All research subjects had complete clinical and imaging examination data.All patients in the observation group received indications therapy of drug balloon dilation or arterial stent implantation.Results There were statistically significant difference in ABI values,baPWV,and UT indicators between the observation group and the control group before surgery(P<0.05).However,at 3 and 6 months after surgery,the ABI values,baPWV,and UT in the observation group were significantly improved compared to those before surgery(P<0.05);and there were no significant difference in ABI values,baPWV,and UT between the observation group and the control group at 3 and 6 months after surgery(P>0.05).At the 6th month after surgery,the surgical treatment effect of the observation group patients was evaluated.Among them,39 cases achieved significant improvement,48 cases were effective,and 7 cases were ineffective.There were significant differences in ABI,baPWV,and UT parameters among patients with different efficacy categories before surgery,3 months after surgery,and 6 months after surgery,with statistical significance(P<0.05).Conclusions The indicators of ABI,baPWV and UT abnormally changed in patients with arteriosclerosis obliterans of lower extremities due to the pathological changes of blood vessels.The detection of ABI,baPWV and UT indicators of peripheral vascular function can not only clarify the preoperative condition of patients with arteriosclerosis obliterans of lower extremities,but also facilitate the dynamic evaluation of postoperative efficacy,which is of great

关 键 词：ABI BAPWV UT 下肢动脉硬化闭塞症 疗效评价 

分 类 号：R543.5[医药卫生—心血管疾病]