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目的研究踝肱指数(ankle-brachial index,ABI)与2型糖尿病并脑卒中的相关性。方法 531例2型糖尿病患者,依据ABI水平分为A组(ABI<0.90)197例,B组(ABI 0.90～1.40)231例和C组(ABI>1.40)103例,比较各组脑卒中发生率,分析ABI与脑卒中危险因素的相关性。结果 C组脑卒中发生率(7.76%)与B组(9.52%)比较差异无统计学意义(P>0.05),而A组发生率(20.30%)高于B,C组(P<0.05);B组血压、血糖水平以及血脂异常、肥胖发生率低于A组(P<0.05)。结论 2型糖尿病患者ABI越低脑卒中危险因素发生率越高;测量ABI有助于预测脑卒中发生率,及时采取干预措施。
Objective To investigate the relationship between ankle-brachial index (ABI) and type 2 diabetes mellitus and stroke. Methods A total of 531 patients with type 2 diabetes mellitus (T2DM) were divided into three groups according to the level of ABI: 197 patients in group A (ABI <0.90), 231 patients in group B (ABI 0.90 ~ 1.40) and 103 patients in group C (ABI> 1.40) Rate, analysis of ABI and stroke risk factors. Results The incidence of stroke in group C (7.76%) was not significantly different from that in group B (9.52%) (P> 0.05), but the incidence of stroke in group A was higher than that in group B and C (P <0.05) The blood pressure, blood glucose level and dyslipidemia in group B were lower than those in group A (P <0.05). Conclusion The lower the ABI in type 2 diabetic patients, the higher the incidence of stroke risk factors. The measurement of ABI can help predict the incidence of stroke and take timely interventions.