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目的 探讨下肢动脉硬化部位与血糖水平的关系及其治疗方案。方法 下肢动脉硬化患者99例 ,根据临床表现和影像学资料分为髂股动脉硬化和股动脉硬化。明确患者糖尿病史 ,检测血糖及血脂水平。结果 女性股动脉硬化发生率 (82 .6 % )较男性 (5 1.3% )高 (P <0 .0 5 ) ;股动脉硬化患者中糖尿病和血糖升高比率 (5 4 .0 % )较髂股动脉硬化患者 (19.4 % )高 (P <0 .0 5 ) ;下肢动脉硬化部位与血脂无显著性差异。结论 股动脉硬化的女性发生率高 ,股动脉硬化患者中糖尿病和血糖升高的发生率高。治疗糖尿病下肢动脉硬化应采取个体化综合治疗方案。
Objective To investigate the relationship between lower extremity arteriosclerosis site and blood glucose level and its treatment plan. Methods 99 cases of lower extremity arteriosclerosis patients, according to clinical manifestations and imaging data is divided into iliofemoral arteriosclerosis and femoral artery atherosclerosis. Clear history of patients with diabetes, blood glucose and blood lipid levels. Results The incidence of atherosclerosis in females (82.6%) was higher than that in males (51.3%) (P <0.05). The rates of diabetes and glycemia in females with atherosclerosis were 54.5% (19.4%) were higher than those in patients with iliac arteriosclerosis (P <0.05). There was no significant difference between the lower extremity arteriosclerosis and blood lipids. Conclusions The incidence of femoral arteriosclerosis in females is high, and the incidence of diabetes mellitus and hyperglycemia in patients with femoral arteriosclerosis is high. Treatment of diabetic lower extremity arteriosclerosis should be taken individually integrated treatment.