| 俞志强 龚亦群 洪彪 王炜 吕杰捷.下肢动脉硬化闭塞症介入治疗的临床疗效及其影响因素研究[J].,2015,15(32):6275-6278 |
| 下肢动脉硬化闭塞症介入治疗的临床疗效及其影响因素研究 |
| Arteriosclerosis Occlusion of Lower Limbs: Clinical Efficacyof Interventional Therapy and Its Risk Factors |
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| DOI： |
| 中文关键词: 下肢动脉硬化闭塞症 介入治疗 临床疗效 踝肱指数 影响因素 |
| 英文关键词: Arteriosclerosis occlusion of lower limbs Interventional therapy Clinical efficacy Ankle brachial index Risk factors |
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| 中文摘要: |
| 目的：探索介入治疗下肢动脉硬化闭塞症(ASO)的临床疗效及其影响因素。方法：选择2012 年10 月至2013年8 月我院收治
的ASO 患者96 例，按照治疗方法将所有患者平均分成对照组和实验组，每组48 例。对照组进行常规药物治疗，实验组在常规药
物治疗基础上行介入手术。考察患者临床疗效及踝肱指数(ABI)，并应用二元Logistic回归研究影响ASO 复发的因素。结果：术后
1 个月、3 个月、6个月、1 年，随着时间的延长，ABI值呈下降趋势，且实验组患者的ABI值在各时间点均明显高于对照组，差异具
有统计学意义（P<0.05）。其中对照组患者有效率为31.25%，实验组患者有效率为87.50%，实验组有效率显著高于对照组，差异具
有统计学意义（P<0.05）。糖尿病和高胆固醇症可以单独影响ASO 复发。结论：介入治疗ASO 患者具有良好的疗效，显著提高患者
的ABI，但术后需严格控制血糖和血脂。 |
| 英文摘要: |
| Objective:To explore the clinical efficacy of interventional therapy for atherioselerosis obliterans (ASO) of Lower
Limbs and its risk factors.Methods:A total of 96 patients with ASO of of Lower Limbs, who were treated in West Shanghai Tongren
Hospital from October 2012 to August 2013, according to the treatment method, were averagely divided into control group (n=48) and
experimental group (n=48). The control group was treated with routine medicine, while the experimental group underwent interventional
therapy on the basis of routine medicine. The clinical efficacy and the ankle brachial index(ABI) in the two groups were observed and the
binary Logistic regression was used to study the risk factors of postoperative recurrence.Results:The ABI values gradually decreased 1
month, 3 months, 6 months, 1 year after treatment, and the ABI values of experimental group at each time point were significantly higher
than those of control group, the differences were statistically significant (P<0.05). The effective rate (31.25%) of control group was
significantly lower than that (87.50%) of experimental group, the difference was statistically significant (P<0.05). Diabetes and high
cholesterol were the risk factors of postoperative recurrence.Conclusion:Interventional therapy has a good clinical efficacy in the
treatment of patients with ASO of Lower Limbs, which can significantly improve the ABI values of patients, but the blood glucose and
blood lipid should be strictly controlled after treatment. |
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