不同基础疾病患者下肢动脉病变患病率调查
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摘要
目的调查心内科住院的不同性别、不同基础疾病患者下肢动脉病变(LEAD)的患病率。方法收集成都市第二人民医院心内科住院患者的一般病史资料及常规实验室检查,对上述患者进行踝肱指数(ABI)检查并收集资料,ABI≤0.9认定为存在LEAD,比较不同性别患者LEAD患病率。根据基础疾病将患者分为4个组:糖尿病组、高血压组、混合组及对照组,其中糖尿病组、高血压组、混合组统称为疾病组,比较不同基础疾病患者LEAD患病率。结果男性患者的LEAD发生率较女性偏高,但差异无统计学意义(P>0.05);糖尿病组的LEAD患病率为32.26%,高血压组LEAD患病率为28.13%,混合组LEAD患病率为40.00%,对照组LEAD患病率为7.41%;各组LEAD患病率明显高于对照组,差异有统计学意义(P <0.05)。结论糖尿病、高血压均为下肢动脉疾病发病的危险因素,同时患高血压病和糖尿病的患者LEAD发生率更高。
Objective To investigate the prevalence of lower extremity arterial disease(LEAD)in patients with different genders and different underlying diseases admitted to the Department of Cardiology. Methods The general medical history data and routine laboratory examinations of inpatients in our department of cardiology were collected. The above patients were examined by sputum index(ABI)and data were collected. ABI ≤0.9 was identified as the presence of LEAD,the prevalence of LEAD was compared among patients with different genders.According to the underlying diseases,the patients were divided into four groups: diabetes group,hypertension group,mixed group and control group. The patients were divided into four groups according to basic diseases:diabetes group,hypertension group,mixed group and control group. Among them,diabetes group,hypertension group and mixed group were collectively referred to as disease group. The prevalence of LEAD in patients with different basic diseases were compared. Results The incidence of LEAD in male patients was higher than that in females,but the difference was not statistically significant. The prevalence of LEAD in the diabetic group was 32.26%,the prevalence of LEAD in the hypertension group was 28.13%,and the prevalence of LEAD in the mixed group was40.00%,the prevalence of LEAD in the control group was 7.41%.the prevalence of LEAD in each disease group was significantly higher than that in the control group(P<0.05). Conclusion Diabetes and hypertension are risk factors for the development of lower extremity arterial disease,and the incidence of LEAD is higher in patients with hypertension and diabetes.
Objective To investigate the prevalence of lower extremity arterial disease(LEAD)in patients with different genders and different underlying diseases admitted to the Department of Cardiology. Methods The general medical history data and routine laboratory examinations of inpatients in our department of cardiology were collected. The above patients were examined by sputum index(ABI)and data were collected. ABI ≤0.9 was identified as the presence of LEAD,the prevalence of LEAD was compared among patients with different genders.According to the underlying diseases,the patients were divided into four groups: diabetes group,hypertension group,mixed group and control group. The patients were divided into four groups according to basic diseases:diabetes group,hypertension group,mixed group and control group. Among them,diabetes group,hypertension group and mixed group were collectively referred to as disease group. The prevalence of LEAD in patients with different basic diseases were compared. Results The incidence of LEAD in male patients was higher than that in females,but the difference was not statistically significant. The prevalence of LEAD in the diabetic group was 32.26%,the prevalence of LEAD in the hypertension group was 28.13%,and the prevalence of LEAD in the mixed group was40.00%,the prevalence of LEAD in the control group was 7.41%.the prevalence of LEAD in each disease group was significantly higher than that in the control group(P<0.05). Conclusion Diabetes and hypertension are risk factors for the development of lower extremity arterial disease,and the incidence of LEAD is higher in patients with hypertension and diabetes.
引文
[1]陶军.在有心血管危险因素的人群中要特别重视筛查外周动脉疾病—2011年欧洲心脏病学会外周动脉疾病指南解读[J].中国循环杂志,2012,27(z1):101-104.
[2]余飞,洪贵平,程铁牛,等.踝臂指数及肱-踝脉搏波传导速度对老年冠心病患者冠状动脉病变程度的预测价值[J].安徽医学,2018,39(1):42-45.
[3]王宁,鞠上,杨博华,等.糖尿病足患者大截肢危险因素的Meta分析[J].中华糖尿病杂志,2018,10(7):465-470.
[4]薛雨星,盛红艳,张秋伊.2015年常熟市社区2型糖尿病患者踝肱指数调查及影响因素研究[J].实用预防医学,2018,25(8):938-942.
[5]蔡群.高血压患者踝臂指数的临床研究[J].重庆医学,2009,38(23):3009-3010.
[6]张健,袁戈恒,齐心,等.糖尿病下肢外周动脉疾病诊治的研究进展[J].中国糖尿病杂志,2018,26(4):343-348.
[2]余飞,洪贵平,程铁牛,等.踝臂指数及肱-踝脉搏波传导速度对老年冠心病患者冠状动脉病变程度的预测价值[J].安徽医学,2018,39(1):42-45.
[3]王宁,鞠上,杨博华,等.糖尿病足患者大截肢危险因素的Meta分析[J].中华糖尿病杂志,2018,10(7):465-470.
[4]薛雨星,盛红艳,张秋伊.2015年常熟市社区2型糖尿病患者踝肱指数调查及影响因素研究[J].实用预防医学,2018,25(8):938-942.
[5]蔡群.高血压患者踝臂指数的临床研究[J].重庆医学,2009,38(23):3009-3010.
[6]张健,袁戈恒,齐心,等.糖尿病下肢外周动脉疾病诊治的研究进展[J].中国糖尿病杂志,2018,26(4):343-348.