糖尿病下肢动脉血管病变患者趾肱指数的影响因素分析

目的 探讨糖尿病下肢动脉血管病变患者趾肱指数(TBI)异常情况及其影响因素分析.方法 收集2016年12月—2018年6月入住该院内分泌科的2型糖尿病患者247例,收集患者性别、年龄、身高、体重、病程等相关病史资料,计算BMI,检测血脂、血糖、空腹C肽、糖化血红蛋白,测量TBI,采用多因素Logistic回归分析TBI...

Analysis of Influencing Factors of Toe-brachial Index in Diabetic Patients with Lower Extremity Arterial Vascular Disease

Objective To investigate the abnormality of toe-brachial index(TBI)and its influencing factors in diabetic patients with lower extremity arterial vascular disease.Methods 247 patients with type 2 diabetes who were admitted to the Endocrinology Department of the hospital from December 2016 to June 2018 were collected.The relevant medical history data such as gender,age,height,weight,and disease course were collected,and BMI was calculated,blood lipids,blood glucose,fasting C-peptide,glycosylated hemoglobin,measure TBI,and use multivariate Logistic regression were detected to analyze related influencing factors of TBI.Results There were 181 cases in the normal TBI(TBI≥0.7)group,accounting for about 73.28%,and 66 cases in the low TBI(TBI<0.7)group,accounting for about 26.72%.There were statistical differences in age,diabetes course and LDL levels between the two groups,the difference was statistically significant(P<0.05);age was the only risk factor for TBI reduction,the difference was statistically significant(P<0.05).Conclusion TBI is a relatively effective non-invasive examination method for the early diagnosis of diabetic lower extremity arterial vascular disease,especially in diabetic patients with advanced age,long course of disease and high LDL.