Application value of ankle-brachial index examination for peripheral arterial disease in diabetic patients
10.11659/jjssx.10E015127
- VernacularTitle:踝肱指数检测在糖尿病下肢周围血管病变中的应用价值
- Author:
Yaping WANG
;
Lingyi HUANG
;
Yang CAO
;
Yanxia MAO
;
Li XIONG
;
Yangfan FEI
- Publication Type:Journal Article
- Keywords:
diabetic peripheral arterial disease;
ankle-brachial index;
diagnosis value;
risk factor
- From:
Journal of Regional Anatomy and Operative Surgery
2016;(1):47-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the distribution characteristics of ankle-brachial index ( ABI) examination for peripheral arterial dis-ease in diabetic patients, and to provide basis for clinical diagnosis. Methods Randomly selected 110 cases of patients who were admitted into our hospital from February 2014 to January 2015, and divided them into the observation group (34 cases with diabetic lower extremity peripheral vascular lesions) and the control group (76 cases without diabetic lower extremity peripheral vascular lesions). Measured the ABI of the two groups, and analyzed the value of ABI data range for the diagnosis of diabetic lower extremity peripheral vascular lesions. Mean-while, analyzed the risk factors of peripheral arterial disease in diabetic patients according to ABI. Results The sensitivity of ABI for diag-nosis of diabetic lower extremity peripheral vascular lesions was 91. 18%, and the coincidence rate was 95. 36%, the specificity was 98. 68%, the misdiagnosis rate was 8. 82%, and the omission diagnostic rate was 8. 82%. ABI of the observation group was obviously lower than that of the control group, and the difference was statistically significant (P<0. 05). Conclusion ABI examination could be basis of clinical diagnosis and important standard of disease assessment for peripheral arterial disease in diabetic patients. It is suggested to strengthen the control of blood glucose, blood pressure and weight of patients with diabetes in order to reduce the risk of morbidity.
