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介入手术对患有外周血管疾病的糖尿病患者显示出疗效。

Interventional surgery shows efficacy for diabetic patients withperipheral vascular disease.

作者信息

Luo Yin-Ji, Tu Xing-Qiang, A Garu, Yu Aorigele, Dong Yong, Wei Jie, Guo Qi-Jie, Guan Zi-Yun, Li Feng-Feng, Wang Bin

机构信息

Department of Orthopaedic Surgery, The Second Affiliated Hospital of Guangzhou Medical University Guangzhou 510260, Guangdong, China.

Department of Radiation Oncology, The First Dongguan Affiliated Hospital of Guangdong Medical University Dongguan 523710, Guangdong, China.

出版信息

Am J Transl Res. 2024 Nov 15;16(11):6510-6518. doi: 10.62347/NKIE2053. eCollection 2024.

Abstract

OBJECTIVE

To analyze the effect of interventional surgery on treatment efficacy and inflammatory cytokine (ICK) levels in diabetic patients with peripheral vascular disease (PVD).

METHODS

A total of 116 diabetic patients with PVD admitted to the Second Affiliated Hospital of Guangzhou Medical University from August 2020 to March 2022 were selected for this retrospective analysis. Patients were divided into two groups: 58 patients receiving conventional medication were assigned to the control group, while 58 patients receiving interventional surgery in addition to conventional medication were assigned to the research group. Comparative analyses were conducted based on clinical efficacy, symptom relief (limb pain, numbness, intermittent claudication, and coldness), ankle-brachial index (ABI) scores, vascular endothelial growth factor (VEGF), transforming growth factor-β (TGF-β), arterial inner diameter, and ICK levels.

RESULTS

The research group demonstrated a significantly higher overall effective rate compared to the control group, with markedly higher ABI scores, faster symptom resolution, increased VEGF and TGF-β levels, greater arterial diameters, and lower ICK levels.

CONCLUSION

Interventional surgery provides superior outcomes compared to conventional medication for treating diabetic patients with PVD, offering greater benefits in terms of ABI improvement, symptom relief, vascular factors, arterial diameter expansion, and ICK reduction.

摘要

目的

分析介入手术对糖尿病合并周围血管疾病(PVD)患者治疗效果及炎症细胞因子(ICK)水平的影响。

方法

选取2020年8月至2022年3月在广州医科大学附属第二医院收治的116例糖尿病合并PVD患者进行回顾性分析。将患者分为两组:58例接受常规药物治疗的患者被分配到对照组,而58例在常规药物治疗基础上接受介入手术的患者被分配到研究组。基于临床疗效、症状缓解情况(肢体疼痛、麻木、间歇性跛行和发凉)、踝肱指数(ABI)评分、血管内皮生长因子(VEGF)、转化生长因子-β(TGF-β)、动脉内径和ICK水平进行比较分析。

结果

研究组的总有效率显著高于对照组,ABI评分明显更高,症状缓解更快,VEGF和TGF-β水平升高,动脉直径更大,ICK水平更低。

结论

与常规药物治疗相比,介入手术治疗糖尿病合并PVD患者的效果更佳,在改善ABI、缓解症状、血管因子、扩张动脉直径和降低ICK方面具有更大优势。

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