• 四川大學(xué)華西醫(yī)院金卡醫(yī)院，四川成都 610041;

目的：了解糖尿病患者踝肱指數(shù)的影響因素。方法：采用多普勒血流探測(cè)儀測(cè)定68例糖尿病患者的踝肱指數(shù)(Anklebranchial index，ABI)，ABI比值小于0.9為低ABI組，大于1.3為高ABI組，在0.9到1.3之間(含1.3)為正常組。結(jié)果：本組病例中ABI lt; 0.9者11例，占16.18%，ABI gt; 1.3者8例，占11.76%。低ABI組與正常組比較，前者年齡大、病程長(zhǎng)，其脈壓、HbA1C、TG、冠心病合并率、視網(wǎng)膜病變發(fā)生率明顯增高。高ABI組與正常組比較，前者年齡大、病程長(zhǎng)，其脈壓、HbA1C、TG明顯增高，HDLC明顯降低。多因素logistic逐步回歸分析顯示年齡、病程是導(dǎo)致ABI異常的危險(xiǎn)因素。結(jié)論：多個(gè)因素影響糖尿病踝肱指數(shù)變化。 

引用本文： 白冰,佘毅,李治鵬,李雙慶. 糖尿病患者踝肱指數(shù)影響因素的研究. 華西醫(yī)學(xué), 2009, 24(2): 336-338. doi: 復(fù)制

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4. TemelkovaKurktschiev TS，Koehler C，Henkel E，et al.Postchailenge plasma glucose and glyeemic spikes are more strongly associated with atheroselerosis than fasting glucose or HbA1c level[J].Diabetes Care，2000，23(12)：1830..
5. The DECODE Study Group.European Diabetes Epidemiology Group.Glucose Tolerance and mortality：comparison of’WHO and American Diabetes Association diagnosis criteria[J].Lancet，1999，354(9179)：617..
6. Zander E，Heinke P，Reindel J，et al.Peripheral arterial disease in diabetes mellitus type 1 and type 2：are there different risk factors[J].Vasa，2002，31(4)：249-54..
7. 王一塵，段俊麗.脈壓與心腦血管事件發(fā)生關(guān)系的研究[J].中國(guó)綜合臨床，2004，20(1)：21-3..
8. Doobay AV，Anand SS，et al.Sensitivity and specificity of the anklebrachial index to predict future cardiovascular outcomes：a systematic review[J].Thrombosis & Vascular Biology，2005，25(7)：1463-469..
9. Diehm C，Allenberg JR，Pittrow D，et al.Importance of the anklebrachial index(ABI)in the prevention of cardiovascular diseases.Ten questions and answers[J].Herz，2007，32(5)：404-09..
10. Heald CL，F(xiàn)owkes FG，Murray GD，et al.Ankle Brachial Index Collaboration.Risk of mortality and cardiovascular disease associated with the anklebrachial index：Systematic review[J].Atherosclerosis，2006，189(1)：61-69.
11. Bonham PA.Get the LEAD out：noninvasive assessment for lower extremity arterial disease using ankle brachial index and toe brachial index measurements[J].Journal of Wound，Ostomy，& Continence Nursing，2006，33(1)：30-41.
  1. 1. 許樟榮.糖尿病足與周圍動(dòng)脈閉塞性病變[J].國(guó)外醫(yī)學(xué).內(nèi)分泌學(xué)分冊(cè)，2004，24(5)：312-314..
  2. 2. Belch JJ，Topol EJ，Agnelli G，et al.Critical issues in peripheral arterial disease detection and management：a call to action[J].Arch Intern Med，2003，163(8)：884-92..
  3. 3. Fowkes FG.The measurement of atherosclerotic peripheral after’iai disease and epidemiological surveys[J].Int J Epidemiol，1988，17(2)：248..
  4. 4. TemelkovaKurktschiev TS，Koehler C，Henkel E，et al.Postchailenge plasma glucose and glyeemic spikes are more strongly associated with atheroselerosis than fasting glucose or HbA1c level[J].Diabetes Care，2000，23(12)：1830..
  5. 5. The DECODE Study Group.European Diabetes Epidemiology Group.Glucose Tolerance and mortality：comparison of’WHO and American Diabetes Association diagnosis criteria[J].Lancet，1999，354(9179)：617..
  6. 6. Zander E，Heinke P，Reindel J，et al.Peripheral arterial disease in diabetes mellitus type 1 and type 2：are there different risk factors[J].Vasa，2002，31(4)：249-54..
  7. 7. 王一塵，段俊麗.脈壓與心腦血管事件發(fā)生關(guān)系的研究[J].中國(guó)綜合臨床，2004，20(1)：21-3..
  8. 8. Doobay AV，Anand SS，et al.Sensitivity and specificity of the anklebrachial index to predict future cardiovascular outcomes：a systematic review[J].Thrombosis & Vascular Biology，2005，25(7)：1463-469..
  9. 9. Diehm C，Allenberg JR，Pittrow D，et al.Importance of the anklebrachial index(ABI)in the prevention of cardiovascular diseases.Ten questions and answers[J].Herz，2007，32(5)：404-09..
  10. 10. Heald CL，F(xiàn)owkes FG，Murray GD，et al.Ankle Brachial Index Collaboration.Risk of mortality and cardiovascular disease associated with the anklebrachial index：Systematic review[J].Atherosclerosis，2006，189(1)：61-69.
  11. 11. Bonham PA.Get the LEAD out：noninvasive assessment for lower extremity arterial disease using ankle brachial index and toe brachial index measurements[J].Journal of Wound，Ostomy，& Continence Nursing，2006，33(1)：30-41.