在退伍军人人口中管理具有低脚臂指数的关节性人群
Drew Bromenshenkel1, Clay Quint1
1Department of Surgery, South Texas Veterans Healthcare System, San Antonio, TX, USA.
Vascular
|April 8, 2024
概括
间歇性关节损伤和脚-手臂指数 (TBI) 较低的患者,特别是糖尿病患者,面临慢性肢体威胁性缺血的风险增加. 对这些患者来说,更密切的监测和积极的风险因素管理至关重要.
科学领域:
- 血管外科 血管外科
- 周围动脉疾病管理管理
- 糖尿病四肢并发症 糖尿病四肢并发症
背景情况:
- 间歇性音是外围动脉疾病 (PAD) 的一个频谱.
- 一个低的脚-手臂指数 (TBI) 表示显著的PAD.
- 对于低TBI的听障患者的管理策略需要评估.
研究的目的:
- 评估低TBI (<0.6) 的声患者的管理和结果.
- 为了比较糖尿病患者和非糖尿病患者队列之间的结果.
- 确定疾病进展和不良事件的危险因素.
主要方法:
- 在5年内对184名患有音和低TBI的患者进行了回顾性审查.
- 收集的数据包括人口统计,并发症和血管特征 (ABI,TBI,化,伤口).
- 患者被分为糖尿病患者 (n=103) 和非糖尿病患者 (n=81) 两组.
主要成果:
- 糖尿病患者的血管化和慢性四肢威胁性缺血症 (CLTI) 的进展率显著更高 (p < .001).
- 糖尿病患者的轻微截肢率显着更高 (Log-rank,p < .001);主要截肢率趋向于更高.
- 重血管化率和时间相似;5年生存率相似,总死亡率为34%.
结论:
- 患有音和低TBI的患者,尤其是糖尿病患者,患有CLTI的风险很高.
- 糖尿病患者患有更严重的血管并发症,包括更高的截肢率.
- 强化后续和积极的风险因子修改建议对低TBI的听者进行.
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