（精）糖尿病PAD患病率及诊治现状.ppt

病理特点 PAD诊治现状 PAD 2型糖尿病患者PAD患病率 糖尿病最主要危害是慢性并发症 周围血管病－日益受到重视 据美国胸科学会报道：有间歇性跛行症状的外周动脉闭塞性疾病（PAD）在60岁以上男性患者患病率为2％～3％，女性为1％～2％无症状的PAD是以上数字的3～4倍。 PAD的患病率随年龄的增长而升高，是心血管病和脑卒中病死率的重要预测因子 * * 安步乐克? 盐酸沙格雷酯 西欧和北美有近3000万人患PAD，在高危人群中PAD的发病率近20-30%1,3我国PAD也有相当大的人群，北京市60岁以上的老年人，外周动脉疾病患者约为1/5 2,3 Heart 2007;93;303-308 Recent estimates suggest that nearly 30 million people are affected by peripheral arterial disease (PAD) in North America and Western Europe.1 In older patients, or those with risk factors such as diabetes mellitus or smoking, the prevalence of PAD approaches 20–30% Prevalence of peripheral arterial disease and its association with smoking in a population-based study in Beijing, China Journal of Vascular Surgery. 44(2):333-338, August 2006. He, Yao MD, PhD a,b; Jiang, Yong MD a; Wang, Jie MD, PhD c; Fan, Li MD d; Li, XiaoYing MD d; Hu, Frank B. MD, PhD b Objective: Although the prevalence of peripheral arterial disease (PAD) and its association with smoking in Western populations has been extensively studied, little information is available in China. The objective of this study was to determine the age-standardized prevalence of PAD and examine the relationship between smoking, quitting, and PAD in elderly Chinese.Methods: We conducted a population-based cross-sectional study in an urban Beijing sample of 2334 subjects aged =60 years (943 men and 1391 women) in 2001 to 2002. PAD was assessed by symptoms of intermittent claudication (IC) as measured by the WHO/Rose questionnaire and an ankle-arm systolic blood pressure index (AAI) of 0.90.Results: The prevalence of PAD defined by IC was 11.3% (men, 8.0%; women, 13.6%); 15.3% (men, 11.7%; women, 17.7%) by AAI, and 19.8% (men, 14.7%; women, 23.2%) by both criteria. After adjusting for age, gender, marital status, education, alcohol drinking, exercise, body mass index, and histories of hypertension and diabetes mellitus, the odds ratios and 95% confidence intervals of PAD for current smokers vs never smokers were