摘要
目的探讨糖尿病下肢动脉血管病变患者趾肱指数(TBI)异常情况及其影响因素分析。方法收集2016年12月—2018年6月入住该院内分泌科的2型糖尿病患者247例,收集患者性别、年龄、身高、体重、病程等相关病史资料,计算BMI,检测血脂、血糖、空腹C肽、糖化血红蛋白,测量TBI,采用多因素Logistic回归分析TBI的相关影响因素。结果正常TBI(TBI≥0.7)组共181例,约占73.28%,低TBI(TBI<0.7)组共66例,约占26.72%,两组患者的年龄、糖尿病病程及LDL水平对比,差异有统计学意义(P<0.05);年龄是TBI降低的唯一危险因素,差异有统计学意义(P<0.05)。结论TBI是糖尿病下肢动脉血管病变早期诊断比较有效的无创检查方法,尤其是在高龄、病程长以及高LDL的糖尿病患者宜早期行TBI检查以及时发现并治疗下肢动脉血管病变。
Objective To investigate the abnormality of toe-brachial index(TBI)and its influencing factors in diabetic patients with lower extremity arterial vascular disease.Methods 247 patients with type 2 diabetes who were admitted to the Endocrinology Department of the hospital from December 2016 to June 2018 were collected.The relevant medical history data such as gender,age,height,weight,and disease course were collected,and BMI was calculated,blood lipids,blood glucose,fasting C-peptide,glycosylated hemoglobin,measure TBI,and use multivariate Logistic regression were detected to analyze related influencing factors of TBI.Results There were 181 cases in the normal TBI(TBI≥0.7)group,accounting for about 73.28%,and 66 cases in the low TBI(TBI<0.7)group,accounting for about 26.72%.There were statistical differences in age,diabetes course and LDL levels between the two groups,the difference was statistically significant(P<0.05);age was the only risk factor for TBI reduction,the difference was statistically significant(P<0.05).Conclusion TBI is a relatively effective non-invasive examination method for the early diagnosis of diabetic lower extremity arterial vascular disease,especially in diabetic patients with advanced age,long course of disease and high LDL.
作者
孙文波
莫建勋
蒙雯雯
莫剑峰
SUN Wen-bo;MO Jian-xun;MENG Wen-wen;MO Jian-feng(Department of Endocrinology,the 924th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Guilin,Guangxi Zhuang Autonomous Region,541002 China)
出处
《糖尿病新世界》
2021年第2期1-3,共3页
Diabetes New World Magazine
基金
桂林市科学研究与技术开发计划项目(20150126-2-2)。
关键词
糖尿病
下肢动脉血管病变
趾肱指数
影响因素
Diabetes
Lower extremity arterial disease
Toe-brachial index
Influencing factors
