踝肱压力指数在诊断糖尿病女性冠心病的应用

胡蕖, 刘娇, 韩利民

胡蕖, 刘娇, 韩利民. 踝肱压力指数在诊断糖尿病女性冠心病的应用[J]. 实用临床医药杂志, 2013, (21): 87-90. DOI: 10.7619/jcmp.201321024
引用本文: 胡蕖, 刘娇, 韩利民. 踝肱压力指数在诊断糖尿病女性冠心病的应用[J]. 实用临床医药杂志, 2013, (21): 87-90. DOI: 10.7619/jcmp.201321024
HU Qu, LIU Jiao, HAN Limin. Importance of ankle-brachial pressure index in the diagnosis of coronary artery disease in women with diabetes mellitus[J]. Journal of Clinical Medicine in Practice, 2013, (21): 87-90. DOI: 10.7619/jcmp.201321024
Citation: HU Qu, LIU Jiao, HAN Limin. Importance of ankle-brachial pressure index in the diagnosis of coronary artery disease in women with diabetes mellitus[J]. Journal of Clinical Medicine in Practice, 2013, (21): 87-90. DOI: 10.7619/jcmp.201321024

踝肱压力指数在诊断糖尿病女性冠心病的应用

基金项目: 中国高校医学期刊临床专项资金
详细信息
  • 中图分类号: R587.1

Importance of ankle-brachial pressure index in the diagnosis of coronary artery disease in women with diabetes mellitus

  • 摘要: 目的 女性冠状动脉疾病(CAD)的临床症状往往不定,尤其对患有糖尿病(DM)的女性,因此有必要通过简单的诊断测试,来确定高危糖尿病(DM)女性是否有患CAD的风险.方法 本院疑似冠心病患者80例,其中DM患者34例.分别对患者行运动负荷心肌灌注成像和臂部、踝关节血压测量,以检测患者缺血性总灌注缺损大小(TPD)和踝肱压力指数(ABI).结果 缺血性TPD在男、女患者间比较无明显差异,而DM患者缺血性TPD明显大于无糖尿病患者;缺血性TPD在DM男、女患者中比较无明显差异;然而,ABI<0.9的DM女性比ABI≥0.9的DM女性有较高的缺血性TPD,ABI值在男性中间比较无差异.结论 ABI评估DM无症状女性CAD患者的发病是可行的,检测结果显示缺血性TPD>10%是冠状动脉血运重建的一个显像指标.
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出版历程
  • 发布日期:  2014-04-07

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