踝臂指数在老年糖尿病合并下肢动脉病患者中的临床应用

目的:探讨踝臂指数(ABI)作为老年糖尿病合并下肢动脉病患者治疗效果评价指标的价值。方法:老年糖尿病合并下肢动脉病患者106例,随机分为2组:A组(单纯药物治疗组)64例,其中男性38例,女性26例,平均(74±6)岁:B组(介入治疗+药物治疗组)42例,其中男性29例,女性13例,平均(73±5)岁。详细记录每一位患者的临床资料。ABI的正常值:0.90.05)。结论:ABI可作为评价老年糖尿病合并下肢动脉病患者治疗效果的重要手段。介入治疗比单纯药物治疗疗效显著。

Ankle-brachial Index in Treatment Effect Evaluation of Diabetes Mellitus and Peripheral Arterial Disease in Elderly Patient

ObjectiTe To investigate the value of ankle-brachial index in treatment effect evaluation of peripheral arterial disease in the aged patients with type 2 diabetes mellitus.Methods One hundred and six type 2 elderly diabetics with peripheral arterial disease were divided into two groups randomly：group A（n = 64,drug treatment）,including 38 males and 26 females,average age was（74±6）;group B（n = 42,interventional therapy and drug treatment）,including 29 males and 13 females,average age was（73±5）.All the patients were checked for ABI by automatic analysis system of angiosclerosis.Each patient＇s clinical information was recorded detailedly.The normal value of ABI was 0.9 to 1.3.The ABI was measured before the treatment,and 1 month,3 months,6 months,and 12 months after the treatment respectively.Results The ABI of type 2 elderly diabetics with peripheral arterial disease was lower than 0.90 before the therapy.The ABI of group B measured 1 month,3 months,6 months,and 12 months after the treatment had significant difference with that before the treatment（P 0.05）.The ABI of 11 diabetics in group B measured 12 months after the treatment was lower than 0.90,and the in-stent restenosis was confirmed by the peripheral arteriography.The ABI of group A measured after drug treatment had no significant difference with that before the treatment（P0.05）.Conclusion ABI is significant for the treatment evaluation of type 2 elderly diabetics with peripheral arterial disease,and interventional therapy is better than drug treatment alone.