稳定型心绞痛患者下肢外周动脉病的临床研究

Clinical study on peripheral arterial disease in patients with stable angina

目的了解稳定型心绞痛患者下肢外周动脉疾病的发病情况及相关危险因素,为采取相应的预防治疗措施提供依据。方法选取明确诊断稳定型心绞痛的在院患者154例,每位患者测量踝臂指数(ABI)的同时进行临床资料调查,ABI<0.9诊断为外周动脉疾病(PAD)。结果稳定型心绞痛患者并发PAD患病率为26.6%;PAD患病率性别、年龄差异无统计学意义(P>0.05),伴有糖尿病史、高血压病史及吸烟史的患者PAD发病率高,差异有统计学意义(P<0.05)。结论稳定型心绞痛住院患者伴有糖尿病史、高血压病史及吸烟史是PAD的高危人群,需要及早预防及治疗。

Objective To explore the morbidity of peripheral arterial disease（PAD） in patients with stable angina and the related factors,so as to provide the evidence for improving the preventive and treatment measures.Methods A total of 154 patients with stable angina were tested for their ABI and their clinical data were also investigated.ABI0.9 was diagnosed as PAD.Results The morbidity of PAD of the patients with stable angina was 26.6%.There were no significant differences between the different age groups and sex groups,respectively（P0.05）,while the morbidity of PAD of patients with stable angina who had the history of smoking,diabetes,and hypertension was higher than that of the patients who did not have the history（P0.05）.Conclusions The patients with stable angina who have the history of smoking,diabetes,and hypertension belong to the high risk group of PAD,therefore,they are needed to prevent from PAD as early as possible.