Analysis Of The Risk Factors And Clinical Features Correlated With96Cases Of Elderly Peripheral Arterial Occlusive Disease

Objective: The purpose of this study is the analysis of the peripheral arterialocclusive disease (PAOD) may occur in patients with risk factors such as gender,age, smoking, dyslipidemia, chronic renal failure, diabetes, high bloodpressure. Screening in elderly PAOD main clinical manifestations, in order toimprove the diagnosis and treatment of the elderly PAOD.Methods: Retrospective analysis of96hospitalized elderly PAOD patients incadres ward of the First Bethune Hospital of Jilin University as the case group,90non-PAOD patients as control group in January2010to January2012. UseSPSS17.0statistical software for statistical analysis.Measurement informationand data presented as mean±standard deviation(x±s), using the t test; countdata with the χ2test. Analysis of risk factors by single factor Logisticregression analysis, P>0.05was no significant difference, exclusion criteria; P<0.05as statistically significant, included in the multivariate Logisticregression analysis, and finally selected the statistically significant factors.Results:1. PAOD as the dependent variable (PAOD=1, no PAOD=0), age,gender, dyslipidemia, smoking and high blood pressure, diabetes, chronic renalfailure as independent variable,then use single non-conditional Logisticregression analysis after the assignment.The results showed that age, gender,dyslipidemia, smoking and high blood pressure, diabetes, chronic renal failureare the risk factors of older PAOD.2. PAOD as the dependent variable(PAOD=1, no PAOD=0), age, smoking, dyslipidemia, chronic renal failure,coronary heart disease, diabetes as independent variables, then use multivariatenon-conditional Logistic regression analysis.The results show that, age,gender, dyslipidemia, smoking and high blood pressure, diabetes are the riskfactors of older PAOD.3.In this study,including96elderly PAOD patients,39 cases were asymptomatic,40.6%of the total number of cases;57cases withsymptoms,59.4%of the total number of cases.36cases with the performanceof intermittent claudication,37.5%of the total number of cases;16cases withrest pain,16.7%of the total number of cases;5cases of limb gangrene,5.2%ofthe total number of cases. Common symptoms and signs are as follows:57cases of limb pain,41cases of limb paresthesia,45cases of skin color andtemperature changes, peripheral arterial pulse weakened or disappeared in80cases.PAOD patients with dyslipidemia, hypertension, diabetes, coronary heartdisease, cerebral infarction, chronic renal failure and other complications weresignificantly higher.Conclusion:1.Age, gender, dyslipidemia, smoking and high blood pressure,diabetes, were major risk factors for elderly PAOD patients, the combination ofrisk factors analysis can help judge the elderly high-risk groups of PAODpatients.,then active prevention and treatment.2. PAOD patients withdyslipidemia, hypertension, diabetes, coronary heart disease, cerebral infarction,chronic renal failure and other complications were significantly higher,suggesting that PAOD prone to a variety of complications, complex disease andpoor prognosis.3.The main symptoms of PAOD manifested as physical pain,the most common signs of PAOD is pulse weakened or disappeared,Suggestingemphasis on clinical manifestations of these patients in clinical work, with aview to early diagnosis and treatment.