心踝血管指数和踝肱指数在下肢动脉闭塞介入治疗中的应用价值(1)
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[摘要] 目的 探讨心踝血管指数(Cardio—Ankle Vascular Index，CAVI)和踝肱指数(Ankle—Brachial Index，ABI)在下肢动脉闭塞性病变(lower limbs arterial occlusive disease，LAOD)介入治疗前评估和治疗后疗效评价中的应用价值及指标间的相关性。 方法 2010年1～12月在我院行介入治疗的LAOD患者35例，所有患者均符合《下肢动脉粥样硬化性疾病诊治中国专家建议(2007)》对LAOD的诊断标准，应用血压脉搏测量装置检测CAVI和ABI作为治疗前评估和治疗后疗效的评价及随访的指标。 结果 CAVI和ABI在介入治疗后和治疗前分别为(5.20±2.85)、(6.65±2.78)(P < 0.05)；(0.35±0.18)、(0.85±0.13)(P﹤0.05)。介入治疗前CAVI与ABI相关分析显示呈正相关(r = 0.648，P < 0.05)，介入治疗后CAVI与ABI无明显相关性。 结论 CAVI和ABI测定在LAOD介入治疗前评估和治疗后疗效评价中有较高的应用价值。
[关键词] 心踝血管指数；踝肱指数；动脉僵硬度；动脉粥样硬化
[中图分类号] R654.3 [文献标识码] B [文章编号] 1673—9701(2012)25—0028—02
The clinical value of cardio—ankle vascular index (CAVI) and ankle brachial index(ABI) in evaluation on therapeutic efficacy to lower limbs arterial occlusive disease
YIN Bo1 HUANG Guangming2 ZHANG Hongxia2 ZHANG Juan1 LIU Weifeng1 ZHANG Hui1 ZHANG Xiuming1 WANG Jun1
1.Department of Cardiology，Zibo City Central Hospital in Shandong Province，Zibo 255036，China；2.Department of Interventional Radiology，Zibo City Central Hospital in Shandong Province，Zibo 255036，China
[Abstract] Objective To explore clinical value of cardio—ankle vascular index (CAVI) and ankle brachial index (ABI) in evaluation on therapeutic efficacy to lower limbs arterial occlusive disease (LAOD). Methods 30 patients of LAOD included in our study. Automatic blood pressure and pulse measurement device were used to measure CAVI and ABI as parameters to reflect therapeutic efficacy with drugs and interventional treatment. Results In cornparison to pre—therapy，CAVI and ABI were higher in post—therapy (5.20±2.85 vs 6.65±2.78，P < 0.05；0.35±0.18 vs 0.85±0.13，P﹤0.05). Relationship analysis results demonstrated that in pre—therapy CAVI closely related to ABI (r = 0 ......
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