老年高血压合并糖尿病患者踝臂指数的临床研究

【目的】探讨老年高血压合并糖尿病（DM）患者踝臂指数（ABI）的变化及临床意义。【方法】根据DM：病史存在与否，165例老年高血压患者分为两组，即DM组和非DM组。测量ABI及血糖、血脂、腹围、体重指数等指标．比较各组间ABI的差异，根据高血压危险分层将所有高血压患者分为低危、中危、高危、极高危四组．比较四组间ABI的差异。结果]DM组患者ABI（0．62±0．16）明显低于非DM组（0．88±0．23）（P〈0．01）。不同危险分层间ABI比较，极高危组低于高危组，高危组低于中危组，中危组低于低危组，差异具有统计学意义（P〈0．01）。【结论】老年高血压合并DM患者具有更低的ABI，ABI可间接反映老年高血压患者危险程度。

Clinical Research on the Ankle-brachial Index in Senile Hypertension Companied with Diabetes Mellitus

Objective]To investigate the change and clinical value of the ankle-braehial index（ABI） in senile hypertension eompanied with diabetes mellitus. Methods] A total of 135 senile hypertension patients were divided into two groups： hypertension companied with diabetes mellitus group and hypertension without diabetes mellitus group（control group）. ABI was measured and compared. According to the dangerous grading of hypertension, 135 senile hypertension patients were re-divided into four groups： low dangerous group, mid die dangerous group, high dangerous group and highest dangerous group. The levels of ABI among these four groups were compared. Results]The ABI of the diabetes mellitus group （0.62±0.16） was significantly lower than that in control group （0.88±0.23）（ P〈0.01）. The ABI was negatively correlated with the dangerous grading of hypertension. Conclusion] Senile hypertension patients companied with diabetes mellitus have much low ABI. ABI can reflect the dangerous grading of senile patients with hypertension.