文章摘要
卢明芳 张冬梅 徐斐 王建军 詹开宇.踝肱指数与糖尿病周围神经病变及中医证候积分的相关性[J].,2015,15(28):5465-5468
踝肱指数与糖尿病周围神经病变及中医证候积分的相关性
Correlation Analysis between ABI and Diabetic Peripheral Neuropathy andTCMSyndrome Integral
  
DOI:
中文关键词: 气阴两虚  ABI  相关性  中医证候积分
英文关键词: Deficiency of both qi and Yin  ABI  Correlation  TCMSyndromes
基金项目:江苏省高校自然科学研究项目(08KJB310008)
作者单位
卢明芳 张冬梅 徐斐 王建军 詹开宇 南京军区福州总医院福建医科大学福州临床医学院 
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中文摘要:
      目的:探讨踝肱指数(ABI)与糖尿病周围神经病变及中医证候积分的相关性。方法:选取我院内分泌科收治辩证以气阴两虚 为证型的糖尿病患者66 例,根据踝肱指数实验将患者分为ABI降低组(0.9>ABI>0.5)和ABI 正常组(1.4>ABI>0.9)。记录患者神 经病变症状尼龙丝检查以及中医症候评分,分析ABI与糖尿病周围神经病变及中医证候积分的相关性。结果:ABI降低组的糖尿 病周围神经病变的患病率高于ABI正常组(P<0.05)。ABI 降低组发麻、针刺感症状的发生率高于ABI 正常组,且有统计学差异 (P<0.05)。ABI降低组10 g尼龙丝检查异常者多于ABI正常组,差异显著(P<0.05)。ABI降低组的感觉振动阈值高于ABI正常组 (P<0.05)。ABI数值与中医证候积分呈负向直线相关(P<0.05)。结论:糖尿病患者ABI数值与糖尿病周围神经病变和中医证候积 分具有相关性。
英文摘要:
      Objective:To investigate the correlation between ankle brachial index (ABI) and diabetic peripheral neuropathy and TCMsyndrome integral.Methods:66 cases with dialectical type of diabetes who were deficiency of qi and Yin were selected and divided into the lower ABI group (0.9>ABI>0.5) and the normal ABI group (1.4>ABI>0.9) according to the ankle brachial index. Then the symptoms, the ABI and diabetic peripheral neuropathy and TCM syndrome integral of patients were analyzed.Results:The incidence of peripheral neuropathy in the lower ABI group was higher than that of the normal ABI group (P<0.05). The occurrence of symtoms of acupuncture numbness in the lower ABI group was higher than that of the normal ABI group with statistical difference (P<0.05). In the lower ABI group, The abnormality of 10 g nylon yarnab examination were more than that of the normal ABI group with significant difference (P<0.05). The threshold of feeling vibration in the lower ABI group was higher than that of the normal group (P<0.05). ABI value was negatively linearly correlated with TCM syndrome integral (P<0.05).Conclusion:ABI level in diabetic patients with are relevant to peripheral neuropathy and TCMsyndrome integral.
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