论文部分内容阅读
目的观察老年人群合并外周动脉疾病(PAD)的发病情况,探讨踝臂指数在临床上的应用价值。方法选取60岁以上老年人988例,收集相关临床资料并检测相关生化指标,采用科林动脉硬化检测仪测量受试者的ABI值,应用SPSS13.0统计软件进行数据分析和处理。结果老年人群合并PAD者为127例,总的发病率为12.9%。PAD组年龄、空腹血糖、收缩压、2型糖尿病、冠心病、高血压病、缺血性脑卒中显著高于非PAD组(P<0.05或P<0.01),多因素Logistic回归分析显示,年龄、性别、缺血性脑卒中是老年人群伴PAD的危险因素。结论踝臂指数是筛查老年人群伴PAD的简单易行又可靠的指标,年龄、性别、缺血性脑卒中是老年人群踝臂指数降低的危险因素。
Objective To observe the incidence of PAD in the elderly and to explore the clinical value of ankle brachial index. Methods A total of 988 elderly patients over the age of 60 were selected. Relevant clinical data were collected and relevant biochemical indexes were collected. The ABI of the subjects was measured by Colin Arteriosclerosis Detector. The data were analyzed and processed by SPSS13.0 statistical software. Results The elderly with PAD were 127 cases, the overall incidence was 12.9%. The age, fasting blood glucose, systolic blood pressure, type 2 diabetes mellitus, coronary heart disease, hypertension and ischemic stroke in PAD group were significantly higher than those in non-PAD group (P <0.05 or P <0.01). Multivariate Logistic regression analysis showed that age, Gender and ischemic stroke are the risk factors of PAD in the elderly. Conclusions Ankle-brachial index is a simple and reliable index for screening elderly patients with PAD. Age, gender and ischemic stroke are the risk factors for the decrease of ankle-brachial index in the elderly.