摘要
目的:探讨踝肱指数(ABI)与多普勒血流波形改变在诊断糖尿病(DM)并下肢血管病变(PAD)的临床价值。方法:用多普勒血管检测仪测定286例DM患者ABI,观察其多普勒血流波形的变化。根据ABI值分为A组(0.9(?)ABI(?)1.3)和B组(ABI(?)0.9),测量体重指数、血压、血糖、糖化血红蛋白、血脂水平。结果:B组的年龄、血压、高血压病程、糖尿病病程、LDL高于A组(P<0.01),ABI、峰值流速(Vmax)低于A组(P<0.05)。ABI与Vmax显著相关(r=0.57,P<0.01)。ABI与多普勒血流波形改变的一致性不高(Kappa=0.241,P<0.01)。结论:在测定ABI时,应同时观察多普勒血流波形来评估DM患者下肢动脉的缺血情况。
Objective：The clinical value of ABI and changes of Doppler flow waveforms of in the diagnosis of DM and PAD.Methods： Mensurated the ABI of 286 DM cases,and observed the changes of Doppler flow waveform. According to ABI values,the all were divided into A group（0.9〈ABI〈1.3）and B group（ABI〈0.9）.Measuring BMI,blood pressure,BSL,GHB,btood lipid levels.Results：Group B in age, blood pressure,hypertension, duration of diabetes, LDL was higher than group A （P〈0.01）,and the ABI and Vmax were less than the group A （P〈0.05）. ABI was significantly correlated with Vmax（r=0.57,P〈0.01）.AB1 and the changes of Doppler blood flow waveform were not high consistency （Kappa=0.241,P〈0.01）.Conclusion：The Doppler flow waveform should also be observed to assess lower extremity arterial ischemia in the patients with DM when mensuring ABI.
出处
《中国医药导刊》
2010年第9期1484-1485,共2页
Chinese Journal of Medicinal Guide
关键词
踝肱指数
多普勒血流波形
下肢血管病变相关性
Ankle brachial index
Doppler bloodflow waveform
Correlation of lower extremity vascular disease
