利用踝肱指数筛查社会经济地位较低的2型糖尿病患者外周血管疾病——一项描述性横断面研究

T. Radha, A. P.S, Sukumaran Annamalai
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引用次数: 0

摘要

就死亡率和患病率而言,糖尿病是本世纪重要的非传染性疾病之一。外周血管疾病(PVD)是II型糖尿病最常见的大血管并发症之一,高危病例表现为跛行或坏疽,但多数病例表现为隐性症状。早期发现血管病变有助于有效处理糖尿病及其并发症。研究目的是使用手持式多普勒评估低社会经济地位的2型糖尿病患者所有无症状血管病变的踝肱指数,并将踝肱指数与PVD的结果联系起来。材料和方法:对印度泰米尔纳德邦安玛佩泰Shri Sathya Sai医学院和研究中心门诊和住院的2型糖尿病无症状血管病变患者进行描述性横断面研究。研究时间为18个月。计算样本量为130。结果:在130例研究人群中,使用踝肱指数,110例(84.6%)正常(1及以上)。无症状跛行11例(8.5%),跛行9例(6.9%)(<0.9)。研究人群中PVD患病率为15.4%。结论:踝肱指数是一种简便易行、快速、可靠、准确的检测方法,尤其适用于高危人群。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
​ Screening for Peripheral Vascular Disease among Type 2 Diabetes Patients of Lower Socio Economic Status using Ankle Brachial Index - A Descriptive Cross Sectional Study
Introduction: Diabetes mellitus is one of the key important non-communicable diseases of this century in terms of mortality and prevalence. Peripheral Vascular Disease (PVD) is one of the most common macrovascular complications of Type II DM. PVD in risky cases exhibits as claudication or gangrene, but in maximum cases, manifests hidden symptoms. Early detection of vascular changes helps in effective handling of Diabetes and its complications. Study objectives were to assess Ankle Brachial Index in all asymptomatic vasculopathy in type2 diabetic patients of low socio-economic status using a hand-held doppler and to correlate the findings of Ankle Brachial Index with PVD. Material and methods: A descriptive cross sectional study done among the patients with asymptomatic vasculopathy in Type 2 diabetes mellitus patients coming to outpatient department as well as admitted as inpatients in Shri Sathya Sai Medical College and Research Centre, Ammapettai, Tamilnadu, India. The study duration was 18 months. Sample size was calculated to be 130. Results: In the study population of 130, using the ankle brachial index, 110 (84.6%) were normal (1 and above). 11 (8.5%) and 9 (6.9%) were having asymptomatic claudication (0.9-0.99) and claudication (<0.9) respectively. The prevalence of PVD is 15.4% in the study population. Conclusion: Ankle Brachial Index is a simple, easy to perform, rapid, reliable and accurate test which can be performed especially among the high risk groups.
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