The Relationship Between Coronary Heart Disease With Ankle-brachial Index In Type2 Diabetic

Objective:To investigate the type 2 diabetic patients with coronary heart disease and ankle-brachial index in patients with coronary heart disease,and diabetes with coronary heart disease related risk factors. Methode:from January 2008 to June 2008 at the Fifth Affiliated Hospital of Xinjiang Medical University, Department of Endocrinology, hospitalized a total of 269 cases for all diabetes patients, male 158, female 111 cases. Coronary artery disease were divided into two groups according to whether the non-CHD group and the CHD group. These patients are recorded lifestyle and behavior, the history of various chronic diseases, measure BMI, admission systolic blood pressure (SBP), diastolic blood pressure (DBP), triglyceride (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), fasting blood glucose (FBG) 2-hour postprandial blood glucose (PBG), glycosylated hemoglobin (GHbA1C), C-reactive protein (C-PR). And was admitted to hospital within 3 days of the British Huntleigh Medical Limited of diabetic foot check boxes line ankle-brachial index (ABI) and toe-brachial index (TBI) measured routine ECG check.Figure examination and treadmill test, carotid artery color Doppler ultrasound. With ABI, TBI divided into groups of different cut points,χ2 test, while logistic regression analysis using multi-factor analysis of coronary heart disease. Results:1,ABI in diabetic patients with coronary heart disease decreased significantly in patients with normal and elevated high-ABI group (P<0.001)。2,In diabetic patients, TBI reduced the incidence of coronary heart disease patients was significantly higher in normal group ABI (P<0.001) 3,this study shows that in diabetic populations, ABI lower, BMI increased (BMI≥25), systolic blood pressure, total cholesterol increased and the presence of carotid artery plaque is a risk factor for coronary heart disease. Conclution:ABI increase (ABI≤0.9) in diabetes to reduce the incidence of cardiovascular disease risk reduction of clinical attention should be paid to the ABI's monitoring, with a view to early detection of cardiovascular disease exist, positive therapeutic intervention (OR=0.421, P=0.025)...