【摘要】 目的通过对患者踝臂指数的检测,探讨踝臂指数对冠心病的筛查价值。方法选择2013年1—12月,乐山市人民医院行踝臂指数检测的832例患者,分为踝臂指数<0.9组400例和踝臂指数≥0.9组432例,分析踝臂指数对冠心病筛查价值。结果 832例患者中,踝臂指数<0.9组为400例,其冠心病患者占67.9%;踝臂指数≥0.9组为432例,其冠心病患者占23.1%,两者比较有统计学意义(P<0.05)。两组之间血脂、糖化血红蛋白比较有统计学意义(P<0.05)。两组间年龄、高血压、性别、吸烟等比较无统计学意义(P>0.05)。结论踝臂指数异常的患者大部分合并冠心病(67.9%)。踝臂指数检测简单、无创。对于有常规冠心病危险因素的患者常规检测,尽早给予相关干预,降低冠心病死亡率。更多还原

【Abstract】 CThis paper discusses the value of ankle/brachial index to the screening of coronary heart disease through the detection of the ankle/brachial index of patients.Methods Choose 832 patients receiving ankle/brachial blood pressure index monitoring in Leshan People’s Hospital from January to December 2013.The patients are divided into two groups(400 cases whose ankle/brachial index is less than 0.9 and 432 cases whose ankle/brachial index is no less than 0.9)to analyze the value of ankle/brachial index to the screening of coronary heart disease.Results In the 832 patients,there are 400 cases whose ankle/brachial index is less than 0.9,67.9% of whom have coronary heart disease and;there are 432 cases whose ankle/brachial index is no less than 0.9,23.1% of whom have coronary heart disease.The comparison between the two groups has statistical significance(P<0.05).The comparison of the blood lipid value and the glycosylated hemoglobin value has statistical significance(P<0.05).The comparison of age,hypertension,sex,smoking and other factors has no statistical significance(P>0.05).Conclusions Most patients with abnormal ankle/brachial index have coronary heart disease as well(67.9%).The monitoring of ankle/brachial index is simple and noninvasive.For patients exposed to the risk of common coronary heart disease,regular examination shall be carried out and intervention shall then be carried out as soon as possible,so as to reduce the mortality of patients with coronary heart disease.更多还原