| 唐焱,周宏,周峻林,蒋迪,田林锋,刘红雨,刘进才.超声多普勒血流探测仪测定2型糖尿病患者踝肱指数的临床研究.[J].中南医学科学杂志.,2016,(3):290-292. |
| 超声多普勒血流探测仪测定2型糖尿病患者踝肱指数的临床研究 |
| Clinical Study of Ultrasound Doppler Blood Flow Determination ofType 2 Diabetic Patients of Ankle Brachial Index |
| 投稿时间：2016-01-26 修订日期：2016-04-30 |
| DOI： |
| 中文关键词: 超声多普勒血流探测 2型糖尿病 踝肱指数 |
| 英文关键词:Doppler ultrasound probe Type 2 diabetes Ankle-brachial index |
| 基金项目:湖南省卫生厅科研基金支持项目(B2012-05)； 衡阳市科学技术发展计划项目应用基础研究计划(2014KJ33,5KJ40). |
|
| 摘要点击次数: 632 |
| 全文下载次数: 600 |
| 中文摘要: |
| 目的 探讨2型糖尿病患者踝肱指数(ABI)异常与其并发症之间的关系,为临床诊断提供依据。方法选取2013年2月~2014年3月本院收治的220例2型糖尿病患者(T2DM)为研究对象,采用回顾性分析方法,运用超声多普勒血流探测仪测定T2DM患者ABI,根据ABI值将所有患者分为3组:高ABI组(ABI≥1.3)；低ABI组(ABI<0.9)；正常组(0.9≤ ABI<1.3)。同时对患者的总胆固醇(TC)等生化指标进行检测,并记录并发症的发生情况。结果220例T2DM中,ABI值异常共48例,ABI值异常发生率为21.82%,其中,高ABI组共17例(7.73%),低ABI组共31例(14.09%)。3组患者的甘油三酯(TG)、总胆固醇(TC)、糖化血红蛋白(HbAlc)、高密度脂蛋白—胆固醇(HDLC)、低密度脂蛋白—胆固醇(LDLC)水平以及大血管、微血管病变的发生率之间差异均具有显著性(P<0.05)。结论ABI值较低的T2DM患者发生慢性并发症的风险更高,ABI异常能够较好预测血管病变的发生,对T2DM患者尽早采取有效的临床治疗措施具有重要意义。 |
| 英文摘要: |
| Objective To investigate the relationship between type 2 diabetes abnormal ankle-brachial index and its clinical complications.MethodsUltrasonic Doppler flow detector was used to measure ABI in patients with type 2 diabetes.While the patient's total cholesterol and other biochemical markers were detected and the occurrence of complications were recorded.ResultsABI abnormal incidence rate was 21.82%,in high ABI group(ABI ≥ 1.3)there were 17 cases (7.73%),in low ABI group(ABI < 0.9) there were 31 cases (14.09%).Three groups of patients with total cholesterol (TC),triglyceride (TG),glycated hemoglobin (HbAlc),high density lipoprotein-cholesterol (HDLC),low-density lipoprotein-cholesterol (LDLC), and large blood vessels,had significant differences (P<0.05) as well as the incidence of microvascular disease.ConclusionType 2 diabetes patients whose ABI was lower than normal had higher risk of chronic complications.Abnormal ABI can better predict the occurrence of vascular disease, ans type 2 diabetes treatment measures as soon as possible is important. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|