Factors influencing long-term effects of interventional therapy on diabetic lower extremity vascular disease
10.3760/cma.j.issn.1008-6315.2016.01.007
- VernacularTitle:影响糖尿病下肢血管病变介入治疗远期效果的相关因素分析
- Author:
Huaqiang YAO
;
Fang WANG
;
Zhen KANG
;
Fujun WANG
;
Jianhua ZHANG
- Publication Type:Journal Article
- Keywords:
Diabetes;
Lower extremity vascular disease;
Interventional therapy;
Long-term effects
- From:
Clinical Medicine of China
2016;32(1):25-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influencing factors involved in the long-term effect after interventional treatment of diabetic lower extremity vascular disease.Methods The data of 358 diabetic patients with lower extremity vascular disease were collected retrospectively.The ankle-brachial index (ABI) values at the 6th, 12th and 24th month after interventional treatment were documented and the factors may influence ABI value werc analyzed.Results Single factor analysis showed that after 24 months treatment, the proportion of ABI<0.5 (severe ischemia) in the patients combined with obesity, smoking, older age were 15.0% (31/206), 18.4% (25/136) , 12.1%(19/157) ,7.5%(15/200) ,while non obesity,younger age,no smoking,no hypertension were 6.6% (10/152), 14.8% (33/222), 6.5% (13/201), 1.9% (3/158), and the differences were significant (P <0.05).Logistic regression analysis showed that old age (OR =1.341,95% CI: 1.281-1.496, P =0.045), smoking(OR=2.301,95% CI: 1.903-4.844,P=0.028) and obesity(OR=1.299,95% CI: 1.270-1.588,P =0.038) were the independent factors influence the long-term therapeutic effects on diabetic lower extremity vascular disease.Conclusion Obesity, smoking, old age are the main factors influence the long-term therapeutic effects on diabetic lower extremity vascular disease.