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[糖尿病大血管病变演变的临床与功能研究]

[Clinical and functional study on the evolution of diabetic macroangiopathy].

作者信息

Pampulov L, Diankov L, Platonova E

出版信息

Vutr Boles. 1980;19(5):48-53.

PMID:7445481
Abstract

Forty seven patients and 26 healthy subjects controls were followed up in the course of 8 years. Twenty fine from the diabetic patients were without vaso-active medication and 22--treated with various vaso-active drugs (Hydrosarpan 711, Eleparon, Radecol, Padutin, Trental, etc.). The clinical approach was made use of for the periodical controls as well as non invasive methods with 60 channel ECG "Hellige" apparatus, electronic device "Dopton" oscillograph "Gesenius--Keller", double rheograph "Shulfrid", tastotherm P-60 "Braun", contact skin thermography according to Trikoir. A complex of functional tests was also applied. A statistically significant decrease (P < 0,001) ws established to develop in 83,9 per cent of the diabetic patients without vaso-active medication versus 47.6 per cent of those with medication and 11.5 per cent in the controls. The lesions of the lower limbs get significantly ahead (P < 0.05) of the coronary lesions both in frequency and evolution. The existing so far pessimism about the therapeutic effect of diabetic macroangiopathy is admitted not to be fully reasonable.

摘要

47例患者和26名健康对照者接受了为期8年的随访。47例糖尿病患者中,20例未使用血管活性药物,22例使用了各种血管活性药物(如Hydrosarpan 711、Eleparon、Radecol、Padutin、Trental等)。采用临床方法进行定期对照,并使用60通道心电图“Hellige”仪器、电子设备“Dopton”、“Gesenius-Keller”示波器、双血流图仪“Shulfrid”、“Braun”味觉温度计P-60以及根据Trikoir进行的接触式皮肤热成像等非侵入性方法。还应用了一系列功能测试。结果显示,未使用血管活性药物的糖尿病患者中有83.9%出现了统计学上的显著下降(P < 0.001),而使用药物的患者中这一比例为47.6%,对照组为11.5%。下肢病变在频率和进展方面均显著早于(P < 0.05)冠状动脉病变。目前对糖尿病大血管病变治疗效果的悲观态度被认为并不完全合理。

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