2型糖尿病周围动脉病变的临床分析与认知度调查

Clinical Analysis and Cognition Survey of Peripheral Arterial Disease in Type 2 Diabetes Mellitus

分析2型糖尿病周围动脉病变(PAD)的临床特征,了解患者及医务人员对PAD的认知度,为其防治提供理论依据。分析我院1 567例住院2型糖尿病患者的临床资料,以ABI<0.9或者ABI≥1.3分为PAD组与非PAD组,比较分析寻找PAD的危险因素;采用问卷调查的方法对517名患者及324名医护人员进行PAD的认知度调查。我院住院2型糖尿病患者PAD的总的发病率为25.7%,且随年龄增加而增加,合并PAD患者体质指数、糖化血红蛋白、甘油三酯、低密度脂蛋白、尿酸、24 h尿微量白蛋白高于非PAD患者,ABI<0.4的PAD患者住院费用及住院时间明显增加。2型糖尿病患者对PAD的知晓率为33.4%,患者对PAD的危险因素的认识较缺乏,临床医生对PAD的知晓率为82.1%。吸烟、BMI≥25 kg/m2、糖尿病病程≥5年、高血压、糖化血红蛋白≥9%、甘油三酯≥1.71 mmol/L、24 h尿微量白蛋白≥30 mg为糖尿病患者发生PAD的危险因素,应加强对PAD危险因素等相关知识的教育,早期筛查和诊治PAD。

So as to provide basis for Prevention, we analyze the clinical features of peripheral arterial disease in type 2 diabetic patients and investigate the cognition of the patients and medical staff. The clinical data of 1567 type 2 diabetic patients were analyzed, and Patients were divided into PAD group and non PAD group with ABI〈 0.9 or ABI〉1.3 as standard. The purpose of our study is to find the risk factors for PAD. The questionnaire survey method were used to carry on the cognition investigation of PAD in 517 patients and 324 medical staff. The incidence rate of PAD in patients with type 2 diabetes in our hospital was 25.7% , and increased with age, The BMI, glycosylated hemoglobin, triglyceride, low density lipoprotein, uric acid, 24 hours urinary albumin in PAD patients were higher than that in non PAD patients, and the hospitalization expenses and time were significantly increased in patients with PAD of ABI〈0.4. Awareness rate of PAD in patients with type 2 diabetes was 33.4%, and the awareness of risk factors of PAD was lack. The awareness rate of PAD was 82.1% in clinician. Smoking and BMI ≥25 kg/m2, diabetes duration ≥ 5 years, hypertension, HbAlc ≥ 9%, TG≥1.71 mmol/L, 24 UMA ≥ 30 mg are the risk factors of PAD. We Should strengthen the education of risk factors of PAD and other related knowledge, early screening and diagnosis and treatment of PAD is very important.