中国临床保健杂志2018，Vol.21Issue(1)：48-51,4.DOI:10.3969/J.issn.1672-6790.2018.01.014
趾臂指数与踝肱指数对诊断2型糖尿病下肢动脉粥样硬化病变的临床价值
The clinical value of TBI and ABI in the diagnosis of T2DM lower extremity atherosclerosis
张麦叶 1任丽君 2高彬1
作者信息
- 1. 第四军医大学西京医院内分泌科,西安710068
- 2. 陕西咸阳市第一人民医院
- 折叠
摘要
Abstract
Objective To investigate the feasibility and efficacy of toe index(TBI)and ankle brachial index (ABI)in the clinical diagnosis of atherosclerotic lesions of lower extremity of type 2 diabetes mellitus.Methods A to-tal of 638 patients with type 2 diabetes mellitus who were diagnosed as type 2 diabetes mellitus were enrolled in this study.According to the time of the patients,the patients were divided into two groups(10 years or less),2 patients(≥10 years)of lower extremity atherosclerosis(LEAD)for diabetic patients with ankle-brachial index ≤0.9 for abnormal detection of right-to-arm index(≥0.7)and abnormal index(<0.7).Results The positive predictive value of TBI was 8.9,463 cases were normal,the positive predictive value was 91.7%,the specificity was 86.6%,the negative pre-dictive value was 82.5%and the sensitivity was 89.7%.There was no significant gender difference in the general data (P<0.05).The incidence of hypertension,coronary heart disease and cerebrovascular disease in TBI abnormal group was significantly higher than that in normal group,and the levels of TG and TC in abnormal group were higher than those in normal group and LDL-C.Conclusion TBI can be used to diagnose early atherosclerotic lesions of type 2 diabetes mellitus.关键词
糖尿病,血管病变/动脉粥样硬化/诊断技术,心血管Key words
Diabetes mellitus/angiopathies/Atherosclerosis/Diagnostic techniques/cardiovascular分类
医药卫生引用本文复制引用
张麦叶,任丽君,高彬..趾臂指数与踝肱指数对诊断2型糖尿病下肢动脉粥样硬化病变的临床价值[J].中国临床保健杂志,2018,21(1):48-51,4.
