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[下肢缺血性病变的流行病学与临床框架]

[Epidemiology and clinical framework of the ischemic pathology of the lower limbs].

作者信息

Bartolo M, Todini A R, Antignani P L, Bartolo M

机构信息

Divisione di Angiologia, Ospedale S. Camillo di Roma.

出版信息

Clin Ter. 1997 Dec;148(12):593-600.

PMID:9528194
Abstract

The atherosclerotic disease is a very important problem for the health in the advanced countries. The Rose's questionnaire was utilised for diagnosing the intermittent claudication but the current diagnostic method is the ankle-arm blood pressure ratio (Winsor's index). The incidence of intermittent claudication is 0.4% to 14.4%, utilising the Rose's questionnaire and 4.2% to 35% using the Winsor's index. The main risk factor for the peripheral arteriopathies is the smoke followed by the hypertension and the diabetic disease. The dyslipidemic and coagulative diseases are important risk factors in some populations. The main cause of death is the myocardial infarction. The risk increases when it is present a cerebral or coronary arterial pathologies.

摘要

在发达国家,动脉粥样硬化疾病是一个对健康非常重要的问题。罗斯问卷曾被用于诊断间歇性跛行,但目前的诊断方法是踝臂血压比值(温索尔指数)。使用罗斯问卷时,间歇性跛行的发病率为0.4%至14.4%,而使用温索尔指数时为4.2%至35%。外周动脉疾病的主要危险因素是吸烟,其次是高血压和糖尿病。在某些人群中,血脂异常和凝血疾病也是重要的危险因素。主要死因是心肌梗死。当存在脑血管或冠状动脉病变时,风险会增加。

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