踝肱指数在2型糖尿病下肢动脉病变中的作用及相关因素分析

目的：探讨踝肱指数在诊断2型糖尿病患者下肢动脉病变（PAD）中的作用及相关危险因素。方法：根据踝肱比值（ABI）将78例2型糖尿病患者分为观察组（ABI≤0．90）及对照组，对比分析两组性别、年龄、糖尿病病程、收缩压、舒张压、空腹血糖（FPG）、餐后两小时血糖（2hPG）、糖化血红蛋白（HbA1c）、高密度脂蛋白胆固醇（HDL—C）、总胆固醇（TG）、甘油三酯（TG）、低密度脂蛋白胆固醇（LDL—c）。结果：78例糖尿病患者中检出PAD患者共53例，检出率67．9％，与对照组相比较，PAD患者年龄、病程、收缩压、舒张压、FPG、2hPG、HbA1c、HDL—C、TG、TC、LDL—C均明显高于对照组。结论：ABI可作为PAD的无创早期诊断方法，其中年龄、病程、高血压、高血糖、高血脂是2型糖尿病患者PAD的危险因素。

Ankle-brachial Index in the Lower Extremity Arterial Disease in Type 2 Diabetes and Its Related Factors

Objective： To explore the role of the ankle-braehial index in the diagnosis of type 2 diabetes patients with lower extremity arterial disease（PAD） and associated risk factors. Method：The ankle-braehial ratio（ABI）, 78 cases of type 2 diabetic patients divided into two groups （ABI ≤ 0.90） and control group. To analyze two sets of gender, age, duration of diabetes, systolic blood pressure, diastolic blood pressure, fasting plasma glucose （FPG）, postprandial two hour plasma glucose（2 h PG）, glycosylated hemoglobin （HbAlc）, high density lipoprotein cholesterol （HDL-C）, with a total cholesterol （TG）, triglycerides （TG）, low-density lipoprotein cholesterol （LDL-C）. Result： 53 PAD cases were detected in 78 cases with diabetes, and the detection rate was 67.9 percent. Compared with the control group, the PAD patients＇ age, duration, systolic blood pressure, diastolic blood pressure, FPG and 2 h PG, HbAlc, HDL-C , TG, TC, LDL-C were significantly higher. Conclusion： ABi can be used in the non-invasive method of early diagnosis of PAD, and age, disease duration, hypertension, high blood sugar, high cholesterol patients with type 2 diabetes are risk factors of PAD.