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目的 通过测量踝臂指数 (ankle -brachialindex ,ABI)评价我国住院冠心病 (coronaryarterialdisease ,CAD)患者下肢外周动脉病 (Peripheralarterialdisease ,PAD)的发病情况。方法 对入院的 163例CAD患者进行踝臂指数测定 ,并进行资料收集和统计学处理。结果 163例CAD患者中发现 70例合并外周动脉病 (平均ABI 0 .63 )。与非PAD组相比 ,PAD组患者与年龄 (P =0 .0 0 0 ) ,糖尿病史 (P =0 .0 0 0 )有统计学意义 ,而与吸烟史 (P =0 .73 1) ,高血压病史 (P =0 .187)和血脂异常 (P =0 .614 )无统计学意义。结论 通过测量ABI确诊PAD简便易行 ;CAD患者易合并PAD ,冠状动脉旁路移植术 (Coronaryarterybypassgrafting ,CABG)患者合并PAD尤为常见 ;CAD合并PAD多见于高龄和糖尿病。
Objective To evaluate the incidence of peripheral arterial disease (PAD) in the lower extremities of coronary artery disease (CAD) in our country by measuring the ankle-brachial index (ABI). Methods Ankle-brachial index was measured in 163 CAD patients admitted to hospital and data collection and statistical analysis were performed. Results A total of 70 patients with peripheral arterial disease were found in 163 CAD patients (mean ABI 0.63). Compared with non-PAD group, PAD group had significant difference with age (P = 0.0000), diabetes history (P = 0.0000), but with smoking history (P = 0.73 1) , History of hypertension (P = 0.187) and dyslipidemia (P = 0.144) were not statistically significant. Conclusions The diagnosis of PAD by measuring ABI is simple and easy. Patients with CAD are prone to PAD. PAD is especially common in patients with coronary artery bypass grafting (CABG). PAD with CAD is more common in advanced age and diabetes.