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目的分析踝肱指数(ABI)增高的糖尿病患者的心血管病危险因素。方法采用多普勒血流探测仪测定解放军第306医院2003—2005年门诊及病房收治的493例2型糖尿病患者的ABI,以ABI<0·90为低ABI组(n=39),0·90≤ABI≤1·40为正常组(n=353),ABI>1·40为高ABI组(n=101);同时对心血管病危险因素进行分析。结果高ABI与正常ABI组比较,腰围、腰臀比、C反应蛋白、尿酸显著增高,吸烟率及高血压合并症发生率显著增加。结论ABI>1·40的糖尿病患者有更多的动脉硬化危险因素,需要将这些患者与ABI<0·90的患者同样重视。
Objective To analyze the cardiovascular risk factors of diabetic patients with elevated ankle brachial index (ABI). Methods The ABI of 493 type 2 diabetic patients in the 306th Hospital of PLA from 2003 to 2005 in the outpatient department and ward was determined by Doppler flow detector. The ABI <0.90 for low ABI group (n = 39), 0 90≤ABI≤1 · 40 for the normal group (n = 353), ABI> 1.40 for the high ABI group (n = 101); at the same time, the risk factors of cardiovascular disease were analyzed. Results Compared with the normal ABI group, waist circumference, waist-hip ratio, C-reactive protein and uric acid were significantly increased, and smoking prevalence and incidence of hypertension complications were significantly increased. Conclusions Diabetic patients with an ABI> 1.40 have more risk factors for atherosclerosis and need to be treated equally with those with ABI <0.90.