糖尿病伴冠心病患者踝肱指数变化

Analysis of Ankle Brachial Index in Different Populations

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<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<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。

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（P0.05）.And there was decreased ankle brachial index（ABI）in diabetes with coronary heart disease compared with the control group,with significant difference（P0.01）.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）