摘要:目的:比較不同人群踝肱指數（ABI）的測量值,探討糖尿病大血管病變的多發性及相關性 。方法: 對2007年2月至2009年5月間在本院住院的49名經冠狀動脈造影和/或心肌損傷三項及心電圖臨床證實心肌梗死的糖尿病患者,及50名經冠狀動脈造影和/或心肌損傷三項及心電圖臨床證實無冠脈病變的糖尿病患者,并另選取50名無糖尿病及冠心病的對照50人共149例行下肢檢查,分析各組ABI的特點。結果: 三組間ABI比較均有差異,兩兩比較有統計學差異(Plt;0.05),且糖尿病并冠心病患者的ABI值較對照組明顯下降,兩組ABI值比較有統計學差異(Plt;0.01)。 結論: 糖尿病合并冠心病與糖尿病足的發病有相關一致性,ABI降低最明顯。Abstract: Objective: To explore the multiplicity and correlation of macroangiopathy in type 2 diabetes,we compared the ankle brachial index(ABI) in different populations. Methods: We analyzed the ankle brachial index(ABI) of lower extremity of 149 people in our hospital from February,2007 to May, 2009:A group,49 diabetes with myocardial infarction diagnosed by coronary angiography and / or myocardial damage check and ECG.B group,50 diabetes without myocardial infarction diagnosed by the same methods. Control group, 50 people without diabetes or coronary heart disease. Results: There were significant differences among three groups, respectively (Plt;0.05). And there was decreased ankle brachial index(ABI)in diabetes with coronary heart disease compared with the control group, with significant difference(Plt;0.01). Conclusion: There was a relation between diabetes with coronary heart disease and the incidence of diabetic foot, with obvious reduction of ankle brachial index(ABI)
