运动后踝臂指数对糖尿病下肢外周动脉病变的诊断价值-论文.pdf

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1、实用临床医学2014年第l5卷第6期PracticalClinicalMedicine，2014．Vol15，No6·11·运动后踝臂指数对糖尿病下肢外周动脉病变的诊断价值谭琪敏，雷小艳，龙艳(广州市增城永宁街永和社区卫生服务中心，广州511365)摘要：目的探讨糖尿病患者运动后测定踝臂指数(ABI)对其下肢外周动脉病变(PAD)的诊断意义和价值方法将90例糖尿病患者按适量运动后测定ABI的不同分为PAD组(66例)和非PAD组(24例)．对运动后2组患者ABI与血管造影及彩超检查的准确率及各项临床指标(年龄、BMI、血压,BUN、HbAlc、Cr,FCP、TC、UA、TG、

2、HDL—L)进行分析比较。结果PAD组经ABI测定均提示有动脉狭窄．经血管造影及彩超检查证实63例有动脉狭窄．诊断正确率为95．45％；非PAD组经ABI测定均提示动脉正常，经血管造影及彩超检查证实9例有动脉狭窄，诊断准确率为62．5％。2组ABI诊断准确率比较差异有统计学意义l2．57，P=-0．032)。PAD组的临床各项指标均高于非PAD组，其中年龄、SBP、DBP、HbA1c、TC、UA及TG等比较差异均有统计学意义(均P<0．05)。结论运动后ABI测定是一种诊断糖尿病患者有无下肢外周动脉病变的可靠手段。可作为早期诊断PAD的常规检查方法关键词：踝臂指数；糖尿病；下

3、肢外周动脉病变中图分类号：R587．1文献标志码：A文章编号：1009—8194(2014)06—0011-03Value0fP0st—exerciseAnkle-BrachialIndexinDiabeticLowerExtremityPeripheralArterialDiseaseTANQi-min，LEIXiao-yan，LONGYan(ZengchengYongningStreetYongheCommunityHealthServiceCenterofGuangzhou,Guangzhou511365，China)ABSTRACT：ObjectiveToexplor

4、ethediagnosticsignificanceandvalueofpost—exerciseankle—brachialindex(ABI)indiabeticlowerextremityperipheralarterialdisease(PAD)．MethodsAccordingtopost—exerciseABI，90diabetespatientsweredividedintoPADgroup(n=66)andnon-PADgroup(n=24)．TheaccuracyofABIandclinicalindicators(age，BMI，bloodpressure

5、，BUN，HbAlc，Cr，FCP，TC，UA，TGandHDL-L)werercomparedbetweenthetwogroupsafterexercise．ResultsInPDAgroup，ABIshowedthatallpatientshadarterystenosis，whichwasconfirmedbyangiographyanduhrasonographyin63patients．Innon—PADgroup，ABIshowednormalarteriesinallpatients，butangiographyanduhrasonographyshoweda

6、rterystenosisin9patients．ThecorrectdiagnosticrateinPDAgroup(95．45％)wassignificantlyhigherthanthatinnon-PADgroup(62．5％)(P<0．05)．Inaddition，clinicalindicatorsinPADgroupwerehigherthanthoseinnon-PADgroupafterexercise．Amongthem，differencesintheage，SBP，DBP，HbAlc，TC，UAandTGwereobviousbetweenthetwo

7、groupsP<0．05)．ConclusionThedeteminationofpost-exerciseABIisareliablemeansandcanbeusedasaroutineexaminationmethodforearlydiagnosisoflowerextremityPADinpatientswithdiabetes．KEYWORDS：ankle—brachialindex；diabetes；lowerextremityperipheralarterialdisease收稿日期：2