Objective:To investigate the relationship between ankle brachial index (ABI) and urinary albumin / creatinine ratio
(UACR) in patients with type 2 diabetes mellitus.Methods:100 patients with type 2 diabetes can be divided into lower ABI group (ABI <
1.0) and normal group ABI(1.0≤ ABI≤ 1.3), compared two groups of patients with gender, age, duration, total cholesterol (TC), triglyceride
(TG), low density lipoprotein cholesterol (LDL - C), high density lipoprotein cholesterol (HDL - C) the difference of the index such
as, explore the urine trace albumin (UMA), the correlation of abnormal UACR and ABI.Results:A total of 100 patients, 62 cases of
male, female 38 cases, ABI, 75 cases of normal group, ABI abnormal group of 25 patients, two groups of FBG, TC, TG, LDL, HDL - C -
C, no statistically significant difference were observed in the HbAlc level; Abnormal group of BUN, SCr and ACR and 24 h urine micro
protein levels were significantly higher than normal group ABI, the difference was statistically significant (P<0.05). Multiple stepwise regression
analysis results showed that ACR, 24 h urine micro protein significantly influence ABI index.Conclusion:The ankle brachial index
in patients with type 2 diabetes is closely related to the level of UACR. Ankle brachial index determination,not only can be used to
assess patients diabetic peripheral vascular function, but also assess the level of urinary albumin / creatinine ratio objectively and simply,
and has certain value for early detection of diabetic nephropathy. |