摘要
糖尿病血管病变 己成为影响老年糖尿病患者生存和生活质量的重要因素。糖尿病神经病变、周围血管病变及伴随的继发感染易造成足病。该病在欧、美国家发病率高,我国尚缺乏流行病学资料,但临床观察有增多的趋势。主要症状为间歇性跛行,疼痛,夜间痛或静息痛。彩色超声多普勒检查应用广泛,可反映血管病变的情况及严重程度。目前,治疗的主要目的是防止其发生和发展,缓解缺血症状,减少导致动脉粥样硬化的危险因子。治疗方法包括使用抗血小板活性药物,行血管旁路术等。
Diabetic angiopathy,
including macrovascular complications and microvascular complications are the crucial factors to old patients with dia-betes. Diabetic foot, resulted from a combination of peripheral vascular, neu-ropathy compromised and superimposed infection, is high morbidity rate in Euro-
pean and American, but that in China is low. The main symptoms are claudica-ton, rest pain and nocturnal pain. The qualitative Doppler velocity measure-ment is simpie and more time -saving for a screen diagnosis of PVD, while the quantitative technique is useful for evalu-ating the severity of evident PVD. Medi-cal care of leg in a diabetic patient in-volves control of diabetes combined with a series of non -specific measures appli-cable to all atheromatous arteriopathies. Vascular risk factors must be allowed for. Drug therapy (oral platelet antiaggrega-tives) is necessary to prevent progres-sion of PVD.
关键词
糖尿病
周围血管病变
抗血小板活性
药物疗法
diabetes, peripheral vascular disease(PVD), platelet antiaggregatives
