糖尿病患者踝肱指数和平衡能力相关性分析

Relationship between ABI and balance degree in patients with diabetes

目的分析糖尿病患者踝肱指数(ABI)与平衡能力的相关性,并探究糖尿病患者平衡能力的独立危险因素。方法采用多普勒超声血流探测仪测定2018年3月至2020年12月安徽医科大学第一附属医院内分泌科收治的80例中老年糖尿病患者ABI,根据检测结果分为研究组(ABI<0.9)和对照组(0.9≤ABI<1.3)患者。并采用Berg平衡能力评分量表对两组患者进行平衡能力评估,记录患者近1年跌倒次数,收集所有患者糖尿病病程、年龄、血压、糖化血红蛋白、胆固醇、低密度脂蛋白、尿白蛋白/肌酐等指标结果,比较两组差异,分析ABI与平衡能力相关性。结果低ABI的糖尿病患者的Berg平衡量表评分显著低于ABI正常的糖尿病患者(P<0.05),且低ABI的糖尿病患者近一年跌倒的例数显著多于ABI正常的糖尿病患者(P<0.05)。糖尿病患者Berg量表评分与患者年龄、尿A/C比值呈显著负相关(P<0.05),而与ABI呈显著正相关(P<0.05)。多元线性回归分析表明年龄和ABI是平衡能力的独立影响因素。结论糖尿病患者ABI是影响平衡能力的重要因素。

Objective To analyze the correlation between ankle-brachial index(ABI)and balance degree and investigate the risk factors of balance degreein patients with diabetes.Methods Dopler ultrasound machine was used to examine ABI in 80 patients admitted to the Endocrinology Department of the First Affiliated Hospital of Anhui Medical University from March 2018 to December 2020.The patients with ABI below 0.9 were set as low ABI group and those with ABI 0.9-1.3 as normal ABI group.The balance degrees of all subjects were evaluated by berg balance scale.Variables between these two groups were compared,such as the course of diabetes,age,blood pressure,HbA1c,blood cholesterol,low-density lipoprotein cholesterol,urinary albumin/creatinine,fall frequency,and the correlation between ankle-brachial index(ABI)and balance degree were analyzed.Results The scores of berg balance scale of patients in low ABI group were significantly lower than those of normal ABI group(P<0.05)and fall frequency of patients in low ABI group were significantly higher than those of normal ABI group(P<0.05).The scores of berg balance scale were negatively associated with age,urinary albumin/creatinine(P<0.05)and positively associated with ABI(P<0.05).Multi-linear regression analysis demonstrated that age and ABI were the risk factors of balance degree.Conclusions ABI is an important factor which affects balance degree in patients with diabetes.