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目的探讨2型糖尿病患者踝臂指数与心脑血管事件的关系。方法检测117例2型DM患者的ABI、糖化血红蛋白(HbAlc)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)、血尿酸(UA)水平。根据患者的ABI进行分组,ABI≤0.9为正常组(49例),ABI>0.9为异常组(68例)。查询既往心脑血管事件的发生率。结果ABI的曲线下面积为0.655,95%CI为0.555～0.775。与正常组相比,ABI异常组患者的年龄、病程、UA、SCr、BUN更高,ABI值更低(P<0.05)。结论ABI是一个评估2型DM患者发生心脑血管事件比较有效的指标。
Objective To investigate the relationship between ankle brachial index and cardiovascular and cerebrovascular events in type 2 diabetic patients. Methods The levels of ABI, HbAlc, TC, TG, LDL and UA in 117 type 2 DM patients were detected. According to the patient’s ABI group, ABI≤0.9 was normal group (49 cases), ABI> 0.9 was abnormal group (68 cases). Check the incidence of previous cardiovascular and cerebrovascular events. Results The area under the curve of ABI was 0.655, and the 95% CI was 0.555-0.775. Compared with the normal group, the patients with abnormal ABI had higher age, duration of disease, higher UA, SCr, BUN and lower ABI (P <0.05). Conclusion ABI is a more effective index for evaluating the occurrence of cardiovascular events in type 2 DM patients.