基于踝肱指数的2型糖尿病外周动脉疾病运用思路构建.docVIP

基于踝肱指数的2型糖尿病外周动脉疾病运用思路构建 　　摘要：目的 探讨基于踝肱指数的2型糖尿病外周动脉疾病的临床诊断价值。方法 选择我院2014年1月～2015年6月收治的68例2型糖尿病患者为研究对象，将没有外周动脉疾病的34例患者作为对照组，将伴有外周动脉疾病的34例患者作为观察组，观察两组的临床特征，并分析踝肱指数的影响因素。结果 2型糖尿病外周动脉疾病的踝肱指数和其年龄、总胆固醇、低密度脂蛋白胆固醇、尿微量白蛋白、尿酸呈负相关关系，而与高密度脂蛋白胆固醇呈正相关关系。结论 采用踝肱指数诊断2型糖尿病外周动脉疾病，操作简单，也比较准确，患者的年龄、低密度脂蛋白胆固醇、尿微量白蛋白、总胆固醇是影响踝肱指数的独立因素。 　　关键词：踝肱指数；2型糖尿病；外周动脉 　　The Construction of the Application of the Peripheral Arterial Disease in Type 2 Diabetes Mellitus Based on the Ankle Brachial Index 　　LUO Qin 　　（Department of Endocrinology， Sichuan Province Construction Hospital，Chengdu 610051，Sichuan，China） 　　Abstract：Objective To explore the clinical value of the treatment of peripheral arterial disease in type 2 diabetic patients based on ankle brachial index.Methods 68 cases of diabetic patients admitted in our hospital from January 2014 to June 2015 were selected.There 34 patients with no peripheral arteries were divide into control group，34 patients with peripheral artery，were taken as the observation group.The clinical characteristics of the two groups were observed，and the influencing factors of ankle brachial index were analyzed.Results The ankle brachial index of peripheral arterial disease in type 2 diabetic patients was negatively correlated with these factors，age，total cholesterol，low density lipoprotein cholesterol，urinary albumin，uric acid.And high density lipoprotein cholesterol was positively correlated.Conclusion The ankle brachial index in the diagnosis of peripheral arterial disease in patients with type 2 diabetes is very effective，and the operation is simple and the results are accurate.Age，low density lipoprotein cholesterol，urinary albumin，and total cholesterol were the independent factors of influencing the ankle brachial index. 　　Key words：Ankle brachial index；type；2 diabetes mellitus；Peripheral artery 　　近年来，糖尿病患者呈逐年递增的趋势，其并发症之一就是外周动脉疾病，2型糖尿病外周动脉疾病极有可能导致患者足部出现溃疡或者下肢截肢[1]，临床上常用踝肱指数诊断2型糖尿病外周动脉疾病，为了探究其诊断价值，本文以我院2014年1月～2015年6月收治的68例2型糖尿病患者为研究对象进行分析。 　　1资料与方法 　　1.1一般