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目的 :观察并分析踝肱指数对糖尿病下肢动脉病变的临床诊断意义。方法 :选取本院2016年7月至2017年7月收治的84例糖尿病下肢动脉病变患者作为研究对象,收集并整理所有患者一般临床资料和糖尿病各项生化指标信息,采用踝肱指数进行检测分析。结果 :实验组患者的年龄、病程和舒张压与对照组患者之间存在明显差异,具有统计学意义(P<0.05);实验组患者的甘油三酯、总胆固醇、餐后2h血糖、糖化血红蛋白水平均明显高于对照组患者,组间差异存在统计学意义(P<0.05)。结论 :糖尿病下肢动脉病变患者的年龄、糖尿病病程、舒张压、甘油三酯、总胆固醇、餐后2h血糖、糖化血红蛋白等均可以成为影响踝肱指数的独立因素,可以将踝肱指数视为诊断该疾病的重要指标。
Objective: To observe and analyze the significance of ankle brachial index in the diagnosis of diabetic lower extremity arterial disease. Methods: Eighty-four patients with diabetic lower extremity arterial disease who were admitted to our hospital from July 2016 to July 2017 were selected as the research object. The clinical data of all patients and the biochemical indicators of diabetes mellitus were collected and analyzed. The ankle-brachial index . Results: There was a significant difference in the age, course of disease and diastolic blood pressure between the experimental group and the control group (P <0.05). The triglyceride, total cholesterol, 2h postprandial blood glucose, glycosylated hemoglobin The levels were significantly higher than those in the control group, with statistical significance (P <0.05). Conclusion: Age, duration of diabetes, diastolic blood pressure, triglyceride, total cholesterol, postprandial 2h blood glucose and glycosylated hemoglobin in patients with lower extremity arterial disease may be independent factors affecting ankle-brachial index. Ankle-brachial index may be regarded as a diagnosis An important indicator of the disease.