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find Keyword "踝肱指数" 8 results
  • 2型糖尿病患者踝肱指数临床相关因素研究

    【摘要】 目的 了解踝肱指数(anklebrachial index,ABI)对诊断糖尿病下肢动脉病变的意义及其相关因素分析。 方法 对2007年5月-10月156例2型糖尿病患者测定ABI,根据ABI分为3组:低ABI组(ABIlt;0.9)、高ABI组(ABIgt;1.3)、正常组(0.9≤ABI≤1.3),测量身高、体重、血压、血糖、糖化血红蛋白、血脂、尿微量白蛋白水平。 结果 156例糖尿病患者中低ABI组37例,高ABI组16例,正常组103例。低ABI组的年龄、糖尿病病程、高血压病程、舒张压均高于正常组(Plt;0.05);高ABI组的年龄、糖尿病病程、高血压病程、收缩压、脉压、TG均高于正常组(Plt;0.05);两异常组的HDLC均较正常组降低(Plt;0.05)。高ABI组的脉压高于低ABI组,高ABI组的舒张压低于低ABI组(Plt;0.05)。行双下肢血管彩色多普勒超声检查,低ABI组、高ABI组及ABI正常组出现血管异常者分别为29例(78.38%)、13例(81.25%)和12例(1165%)。 结论 年龄、病程、血压、血脂是影响ABI的关键因素,高ABI患者和低ABI患者临床表现各有特点。

    Release date:2016-09-08 09:31 Export PDF Favorites Scan
  • Sdudy on the Effoding Factors of ABI in Diabetic Patients

    目的:了解糖尿病患者踝肱指数的影响因素。方法:采用多普勒血流探测仪测定68例糖尿病患者的踝肱指数(Anklebranchial index,ABI),ABI比值小于0.9为低ABI组,大于1.3为高ABI组,在0.9到1.3之间(含1.3)为正常组。结果:本组病例中ABIlt; 0.9者11例,占16.18%,ABIgt; 1.3者8例,占11.76%。低ABI组与正常组比较,前者年龄大、病程长,其脉压、HbA1C、TG、冠心病合并率、视网膜病变发生率明显增高。高ABI组与正常组比较,前者年龄大、病程长,其脉压、HbA1C、TG明显增高,HDLC明显降低。多因素logistic逐步回归分析显示年龄、病程是导致ABI异常的危险因素。结论:多个因素影响糖尿病踝肱指数变化。 

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • Analysis of the Related Factors of Peripheral Arterial Disease in Lower Limbs of Type 2 Diabetes Patients

    目的:通过踝肱指数 (ABI)检查,探讨2型糖尿病患者下肢动脉病变 (PAD)的患病率及其影响因素。方法:采用血管多普勒诊断仪对120名 2型糖尿病患者进行 ABI测定,ABIlt;0. 9为 PAD组,ABI≥0. 9为非PAD组,分析比较2组患者的代谢参数。结果:检出ABIlt;0.9者31例,占总例数的25. 8%。与非 PAD组比较, PAD组患者年龄大、病程长,餐后2h血糖、SBP 、DBP、TG、LDL  C、HbA1c均明显升高,有显著性差异 (Plt;0.05)。结论:ABI在诊断2型糖尿病下肢动脉病变中具有重要意义;年龄、病程、高 LDLC、高TG、高血糖、高血压为下肢动脉病变的主要危险因素。

    Release date:2016-09-08 10:00 Export PDF Favorites Scan
  • Analysis of Ankle Brachial Index in Different Populations

    摘要:目的:比较不同人群踝肱指数(ABI)的测量值,探讨糖尿病大血管病变的多发性及相关性 。方法: 对2007年2月至2009年5月间在本院住院的49名经冠状动脉造影和/或心肌损伤三项及心电图临床证实心肌梗死的糖尿病患者,及50名经冠状动脉造影和/或心肌损伤三项及心电图临床证实无冠脉病变的糖尿病患者,并另选取50名无糖尿病及冠心病的对照50人共149例行下肢检查,分析各组ABI的特点。结果: 三组间ABI比较均有差异,两两比较有统计学差异(Plt;0.05),且糖尿病并冠心病患者的ABI值较对照组明显下降,两组ABI值比较有统计学差异(Plt;0.01)。 结论: 糖尿病合并冠心病与糖尿病足的发病有相关一致性,ABI降低最明显。Abstract: Objective: To explore the multiplicity and correlation of macroangiopathy in type 2 diabetes,we compared the ankle brachial index(ABI) in different populations. Methods: We analyzed the ankle brachial index(ABI) of lower extremity of 149 people in our hospital from February,2007 to May, 2009:A group,49 diabetes with myocardial infarction diagnosed by coronary angiography and / or myocardial damage check and ECG.B group,50 diabetes without myocardial infarction diagnosed by the same methods. Control group, 50 people without diabetes or coronary heart disease. Results: There were significant differences among three groups, respectively (Plt;0.05). And there was decreased ankle brachial index(ABI)in diabetes with coronary heart disease compared with the control group, with significant difference(Plt;0.01). Conclusion: There was a relation between diabetes with coronary heart disease and the incidence of diabetic foot, with obvious reduction of ankle brachial index(ABI)

    Release date:2016-09-08 10:12 Export PDF Favorites Scan
  • Diagnosis of Arteriosclerosis Obliterans of Lower Extremity in Early Stage

    Objective To explore the methods of early diagnosis of arteriosclerosis obliterans of lower extremity (ASOLE). Methods The related literatures on ASOLE detection means adopted clinically were reviewed, and their advantages and disadvantages were compared.Results Asymptomatic ASOLE could be discovered by determination of ankle brachial index (ABI) and toe brachial index (TBI), which was a good index for arterial function assessment of lower extremity. Pulse wave velocity (PWV) was more vulnerable and less sensitive than ABI, and therefore more suitable for screening of a large sample. ASI was an index to assess arterial structure and function, and it had a good correlation with PWV. Flow-mediated dilation (FMD) was a measurement evaluating the function of endothelial cell; Pulse wave measurement was simple, sensitive, and its result was reliable. Color Doppler ultrasonography could localizate the lesion and determine the degree of stenosis at the same time. Multiple-slice CT angiography (MSCTA) was more accurate than color Doppler ultrasonography, but its inherent shortcomings, such as nephrotoxicity of contrast agent, was still need to be resolved. 3D-contrast enhancement magnetic resonance angiography (CEMRA) had little nephrotoxicity, but a combination of other imaging methods was necessary. Microcirculation detections required high consistency of the measurement environment, but they were simple, sensitive and noninvasive, and therefore could be used for screening of ASO. Conclusion Publicity and education of highrisk groups, and reasonable selection of all kinds of detection means, are helpful to improve the early diagnosis of ASOLE.

    Release date:2016-09-08 10:54 Export PDF Favorites Scan
  • Autologous BoneMarrow Cell Transplantation for Treatment of Thromboangitis Obliterans

    Objective To investigate the effect and safety of autologous bone marrow-mononuclear cell (BM-MNC) transplantation on ischemic limb of patients with thromboangiitis obliterans (TAO). Methods Thirteen patients with TAO underwent transplantation of autologous BM-MNC into ischemic muscles of 17 lower limbs. A series of subjective indexes (improvement of pain and cold sensation) and objective indexes including increase of ankle brachial index (ABI), transcutaneous oxygen pressure (TcPO2), and improvement of foot skin ulcer were used to evaluate the effects. Results The outcomes were evaluated after 2 months of transplantation. The pain relief and improvement of cold feeling were in 15 limbs and 16 limbs, respectively. Before transplantation and 2 months after transplantation, ABI was 0.37±0.06 and 0.50±0.17, respectively (Plt;0.05), and TcPO2 of the ischemic legs were (24.59±3.36) mm Hg (1 mm Hg=0.133 kPa) and (35.00±10.44) mm Hg, respectively (Plt;0.05). ABI increased in 9 limbs. TcPO2 elevated in 14 limbs. Skin ulcer improved in 7 limbs. Thirteen patients were followed up from 4 to 18 months (average 8 months), the patients’ symptoms improved in 13 limbs. ABI was 0.45±0.14, which wasn’t different from those before transplantation and 2 months after transplantation (Pgt;0.05). TcPO2 was (33.24±10.43) mm Hg, which was different from those before transplantation and 2 months after transplantation (Plt;0.05) and was elevated in 12 limbs. Skin ulcer healing was in 5 limbs. The ischemic symptoms in 2 patients were not relieved. There was no mortality and high level amputation. The following complications, such as proliferative retinopathy, malignant tumor, myocardial infarction, stroke or hemangioma, were not found in all patients.Conclusion In patients with TAO, intramuscular transplantation of autologous BMMNC is a safe and effective method, and may improve symptoms and accelerate the healing of skin ulcer.

    Release date:2016-09-08 10:54 Export PDF Favorites Scan
  • 腘动脉陷迫综合征外科治疗疗效分析

    目的探讨外科治疗腘动脉陷迫综合征(popliteal artery entrapment syndrome,PAES)的疗效。 方法回顾分析2006年4月-2014年4月收治的14例PAES患者临床资料,其中男13例,女1例;年龄20~54岁,平均35.5岁。左侧4例,右侧9例,双侧1例。10条患肢足背动脉搏动消失,5条患肢足背动脉搏动减弱;踝肱指数0.51±0.07。病程2周~12个月,平均5.2个月。根据PAES不同诊断及分型对9例患者行腘动脉周围异常组织松解术及腔内治疗术,余5例腘动脉功能性陷迫行保守治疗。 结果1例行肌切除、闭塞动脉取栓动脉成形术者,术后5 d腘动脉再次闭塞,行插管溶栓术后再通。其余患者经手术治疗及保守治疗后踝肱指数上升至0.93±0.22,与术前比较差异有统计学意义(t=5.634,P=0.000),跛行症状均缓解。14例均获随访,随访时间5~81个月,平均29.7个月。8例行腘动脉松解术后下肢活动正常,腘动脉血流通畅;1例介入下行球囊扩张术后11个月腘动脉再狭窄,给予抗血小板、抗凝保守治疗后症状未见反复。5例保守治疗患者治疗后下肢活动正常,腘动脉血流通畅。 结论PAES患者早期确诊并及时外科干预能获较好近、中期临床疗效。

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  • Experience sharing of ultrasound-guided endovascular treatment for femoropopliteal arteriosclerosis obliteran: clinical analysis of 112 cases

    ObjectiveTo analyze the safety and effectiveness of ultrasound-guided endovascular treatment for femoropopliteal arteriosclerosis obliteran (ASO). MethodsThe clinical data of patients with femoropopliteal ASO were collected and analyzed. The patients were treated by ultrasound-guided endovascular intervention in the Xijing Hospital of Air Force Military Medical University, from March 2015 to June 2021. The endovascular intervention methods included the arterial balloon dilation (ABD) alone, stent implantation (SI), Rotarex mechanical thrombus removal (Abbreviationas: Rotarex), and thrombolytic catheter implantation (CDT), etc. ResultsAll 112 patients (121 affected extremities) who met the research criteria were collected. Among them, there were 13, 68, and 40 affected extremities by the Rutherford classification of 2, 3, and 4, respectively, while 41, 39, and 41 affected extremities by the Trans-Atlantic Inter-SocietyConsensus Ⅱ classification of A, B, and C, respectively. Among 121 affected extremities, 61 underwent the ABD alone, 27 underwent ABD plus Rotarex, 12 underwent ABD plus SI, 6 underwent ABD plus SI plus Rotarex, 3 underwent ABD plus SI plus CDT, 7 underwent ABD plus CDT plus Rotarex, and 5 underwent ABD plus CDT. The ultrasound-guided endovascular treatments were completed successfully in 118 affected extremities (the success rate was 97.5%), and 3 affected extremities were not completely completed by ultrasound guidance. After operation, 5 affected extremities had pseudoaneurysm and 7 affected extremities had hematoma at the puncture site, which were cured after conservative management. The ankle-brachial index (ABI) of the affected extremities immediately after surgery was statistically higher than that before surgery [0.89±0.13 vs. 0.53±0.09, mean difference (95% confidence interval)=0.36 (0.34, 0.38), paired t-test (t=–25.17), P<0.001]. After a follow-up of 12 months, one patient had a metatarsal amputation and one patient died (acute myocardial infarction). The restenosis rate and reintervention rate of the target lesions were 25.0% (30/120) and 15.0% (18/120) at 12 months postoperatively, and the late loss of diameter was (0.88±0.25) mm. The ABI was still higher than before surgery [0.78±0.13 vs. 0.53±0.09, mean difference (95% confidence interval)=0.25 (0.22, 0.27), paired t-test, t=–17.61, P<0.001]. ConclusionFrom analysis results of this data, it can be seen that, ultrasound-guided endovascular intervention is a safe and effective treatment for selective femoropopliteal ASO.

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