踝臂指数与新疆维吾尔族脑梗死患者疾病严重程度及预后的关系

The relationship between the ankle-brachial index and the severity of disease in Xinjiang Uygur patients with cerebral infarction

目的探讨踝臂指数与新疆维吾尔族脑梗死患者疾病严重程度及预后的关系。方法收集患者临床资料，测量踝臂指数，对脑梗死严重程度进行分型，随访患者出院后6个月内再发脑梗死事件的情况。结果125例新疆维吾尔族脑梗死患者中，ABI异常者39例（占31．2％）；ABI正常组和异常组患者比较，年龄、高血压、糖尿病、高血脂的差异有统计学意义（P〈0．001）；ABI异常率在脑梗死轻、中、重型患者中比较，差异有统计学意义（P〈0．05）；随着脑梗死病情加重，ABI值逐渐降低（P〈0．01），而中、重型患者ABI值间的差异无统计学意义（P〉0．05）；随访观察ABI异常患者出院后6个月内再发脑梗死事件增多（Х^2=71．667，P〈0．001）；年龄、糖尿病、高血压和ABI异常是脑梗死患者再发卒中事件的危险因素（年龄OR值5．850，P=0．024；糖尿病OR值9．651，P=0．026；高血压OR值9．766，P=O．014；ABI异常OR值8．836，P=0．023）。结论在新疆维吾尔族脑梗死患者中，随着病情加重，ABI异常者逐渐增多，ABI值逐渐降低；ABI异常患者容易卒中复发。

Objective To explore the relationship between the ankle - brachial index （ABI） and the severity of disease in Xinjiang Uygur patients with cerebral infarction. Methods Datas regarding the patients＇age, sex, previous diseases and ABI were collected. The severity of cerebral infarction was classified and the information of stroke recurrence was collected. Results 39 patients are found to have abnormal ABI in 125 uygur patients with cerebral infarction（31.2% ）. There were significant differences in statistics between normal - ABI and abnormal - ABI group in age ,hypertension ,diabetes melli- tus and hyperlipidemia（P 〈 0. 001 ）. abnormal -ABI incidence rate has significant difference in these slight,middle and heavy stroke patients（ P 〈0.05 ）. Following the disease is more serious, ABI is more low（ P 〈0. O1 ）. There were no significant differences in statistics about ABI in these middle and heavy stroke patients（ P 〉 0.05 ）. The recurrence rate of stroke is high in abnormal - ABI group（Х^2 =71. 667,P 〈0. 001 ）. The risk factors of stroke recurrence are age,diabetes mellitus,hy- pertension and abnormal - ABI （ age OR = 5. 850,P = 0. 024 ; diabetes mellitus OR = 9.651, PP = O. 026 ; hypertension OR = 9.766,P =0.014;abnormal-ABI OR=8.836,P =0.023）. Conclusion Following the stroke is more serious, abnormal - ABI incidence rate is more high and ABI is more low. The stroke is easy to recur in these patients with abnormal - ABI.