Ababneh Mutasem, Al Ayed Mousab Y, Robert Asirvatham A, Al Dawish Mohamed A
Department of Endocrinology and Diabetes, Diabetes Treatment Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Curr Diabetes Rev. 2020;16(3):270-277. doi: 10.2174/1573399815666190531093238.
This cross sectional study investigated the clinical use of the ankle-brachial index (ABI) and toe brachial index (TBI) in 91 type 2 diabetic foot ulcer patients who visited the diabetic foot clinic, Prince Sultan Military Medical City, Saudi Arabia during July 2017 and January 2018.
The ABI and TBI facilitated the detection of peripheral arterial disease (PAD) and the patients' medical records were used to collect the clinical and demographic variables. The variables of duration (p = 0.047) and treatment (p = 0.046) of the ABI showed significant differences. Age (p = 0.034) and duration (p = 0.001) were the factors related to the diagnosis of TBI by the "χ2" test.
From the TBI, 26.4% of the patients were found to have PAD, while the ABI showed that 21.8% of patients had the condition. However, no statistical significance was noted. From the regression analysis, the variable duration of diabetes (≥ 20 years of age) was recognized as an independent risk factor for TBI.
In conclusion, it is recommended both the ABI and TBI to be used as screening tests for PAD in diabetic foot ulcer patients.
这项横断面研究调查了2017年7月至2018年1月期间在沙特阿拉伯苏丹王子军事医疗城糖尿病足诊所就诊的91例2型糖尿病足溃疡患者的踝臂指数（ABI）和趾臂指数（TBI）的临床应用情况。
ABI和TBI有助于检测外周动脉疾病（PAD），并利用患者的病历收集临床和人口统计学变量。ABI的病程（p = 0.047）和治疗（p = 0.046）变量显示出显著差异。通过“χ2”检验，年龄（p = 0.034）和病程（p = 0.001）是与TBI诊断相关的因素。
通过TBI发现，26.4%的患者患有PAD，而ABI显示21.8%的患者患有该疾病。然而，未观察到统计学显著性差异。通过回归分析，糖尿病病程变量（≥20岁）被认为是TBI的独立危险因素。
总之，建议将ABI和TBI均用作糖尿病足溃疡患者PAD的筛查测试。
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