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分析2型糖尿病周围动脉病变(PAD)的临床特征,了解患者及医务人员对PAD的认知度,为其防治提供理论依据。分析我院1 567例住院2型糖尿病患者的临床资料,以ABI<0.9或者ABI≥1.3分为PAD组与非PAD组,比较分析寻找PAD的危险因素;采用问卷调查的方法对517名患者及324名医护人员进行PAD的认知度调查。我院住院2型糖尿病患者PAD的总的发病率为25.7%,且随年龄增加而增加,合并PAD患者体质指数、糖化血红蛋白、甘油三酯、低密度脂蛋白、尿酸、24 h尿微量白蛋白高于非PAD患者,ABI<0.4的PAD患者住院费用及住院时间明显增加。2型糖尿病患者对PAD的知晓率为33.4%,患者对PAD的危险因素的认识较缺乏,临床医生对PAD的知晓率为82.1%。吸烟、BMI≥25 kg/m2、糖尿病病程≥5年、高血压、糖化血红蛋白≥9%、甘油三酯≥1.71 mmol/L、24 h尿微量白蛋白≥30 mg为糖尿病患者发生PAD的危险因素,应加强对PAD危险因素等相关知识的教育,早期筛查和诊治PAD。
To analyze the clinical features of type 2 diabetic peripheral arterial disease (PAD), to understand the patients and medical staff awareness of PAD, to provide a theoretical basis for its prevention and treatment. To analyze the clinical data of 1 567 inpatients with type 2 diabetes mellitus in our hospital. The patients were divided into PAD group and non-PAD group with ABI <0.9 or ABI≥1.3. The risk factors of PAD were compared and analyzed. A total of 517 patients 324 health care workers for PAD awareness survey. The overall incidence of PAD in hospitalized patients with type 2 diabetes mellitus was 25.7% and increased with age. The body mass index, glycosylated hemoglobin, triglyceride, low density lipoprotein, uric acid, 24 h urine microalbumin Higher than non-PAD patients, PAD patients with ABI <0.4 hospitalization costs and hospitalization significantly increased. The rate of awareness of PAD in type 2 diabetes patients was 33.4%. There was a lack of awareness of risk factors for PAD in patients with type 2 diabetes. The awareness of PAD by clinicians was 82.1%. Smoking, BMI ≥25 kg / m2, duration of diabetes ≥5 years, hypertension, glycosylated hemoglobin ≥9%, triglycerides ≥1.71 mmol / L, 24-hour urinary albumin ≥30 mg for risk factors for PAD in diabetic patients , We should strengthen the education of PAD risk factors and other related knowledge, early screening and diagnosis and treatment of PAD.