国际医药卫生导报2014，Vol.20Issue(8)：1091-1094,4.DOI:10.3760/cma.j.issn.1007-1245.2014.08.019
糖尿病伴发下肢动脉硬化性闭塞症的介入治疗分析
Interventional treatment for diabetes complicated with lower limb arteriosclerosis obliterans
摘要
Abstract
Objective To explore the efficacy of interventional treatment for diabetes complicated with lower limb arteriosclerosis obliterans.Methods 46 patients with diabetes complicated with lower limb arteriosclerosis obliterans were selected as study objects.All the patients were checked with CTA before the operation,then were treated interventionally,and were checked with DSA during the operation.The efficacies of different Fontatine types were compared after the treatment.The hemorrheology before the treatment was compared with that after the treatment.Results The efficacy was 100.0％ in Fontatine Ⅰ and Ⅱ,69.2％ in Fontatine Ⅲ,and 53.8％ in Fontatine Ⅳ.The efficacies of Fontatine Ⅰ and Ⅱ were significantly higher than that of Fontatine Ⅲ (x 2=4.062,P=0.044) and Fontatine Ⅳ (x 2＝6.769,P=0.009).Femoral artery systolic peak velocity was (76.53 ± 18.96) cm/s before the treatment and (68.18 ± 14.79) cm/s after the treatment,mean flow velocity (48.59 ± 12.26) cm/s and (44.10 ± 13.27) cm/s,blood flow (840.80 ± 51.13) ml/min and (796.21 ± 48.16) ml/min,pulsatility index (4.16 ± 0.59) and (4.83 ± 0.86),and flow index (0.63 ± 0.09) and (0.81 ± 0.20),with statistical differences (P ＜ 0.05).Conclusions Interventional treatment for Fontatine Ⅰ and Ⅱ diabetes complicated with lower limb arteriosclerosis obliterans has better efficacy than that for Fontatine Ⅲ and Ⅳ and can effectively improve the patient's hemorrheology.关键词
糖尿病/下肢动脉硬化性闭塞症/介入治疗/疗效/血液流变性Key words
Diabetes/ Lower limb arteriosclerosis obliterans/ Intervention/ Efficacy/ Hemorrheology引用本文复制引用
罗振强,林润锋,李焯洪,柳健..糖尿病伴发下肢动脉硬化性闭塞症的介入治疗分析[J].国际医药卫生导报,2014,20(8):1091-1094,4.
