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踝肱指数诊断2型糖尿病无症状下肢动脉病变的临床意义

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摘要 糖尿病下肢动脉病变（PAD）是糖尿病患者大血管并发症之一,是导致糖尿病下肢截肢的主要原因[1],早期诊断和治疗PAD,可预防糖尿病足坏疽的发生。诊断金标准是血管造影,但其为有创检查且价格昂贵,临床受限。踝肱指数（ABI）是通过非侵入性血管检查来评价下肢血液循环状况,是较好反映下肢动脉病变的指标。2006年初美国心脏病学学会／美国心脏学会（ACC／AHA）指南推荐ABI≤0．9作为诊断PAD的标准。按此此标准对我院98例无下肢症状的2型糖尿病患者进行ABI检查，为临床提供了早期诊断PAD的依据，现报告如下。
作者 李月红
机构地区 山西省临汾市人民医院
出处 《实用医技杂志》 2011年第8期855-856,共2页 Journal of Practical Medical Techniques
关键词 糖尿病下肢动脉病变 2型糖尿病 早期诊断 临床意义 踝肱指数 无症状 美国心脏病学学会 大血管并发症
分类号 R587.2 [医药卫生—内分泌]
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实用医技杂志
2011年 第8期

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