ĐÁNH GIÁ CHỈ SỐ HUYẾT ÁP TÂM THU CỔ CHÂN - CÁNH TAY (CHỈ SỐ ABI) Ở BỆNH NHÂN TĂNG HUYẾT ÁP TẠI TRUNG TÂM Y TẾ HUYỆN XUÂN LỘC NĂM 2019

Abstract

Research objectives: Determine the rate of ankle-brachial systolic blood pressure index in hypertensive patients at Xuan Loc District Medical Center in 2019; Determine the relationship between ankle-brachial systolic blood pressure index and risk factors for lower limb arterial disease in hypertensive patients at Xuan Loc District Medical Center in 2019; Determine the relationship between ankle-brachial systolic blood pressure index and the group with pathology at Xuan Loc District Medical Center in 2019. Methods: Retrospective study of all patients receiving outpatient treatment for hypertension at Xuan Loc District Medical Center in 2019. Results: Right leg ABI index: ABI was within the normal range (1.0-1.3), accounting for 76%; ABI was within the warning range (0.9-1.0), accounting for 18.46%; ABI was within the pathological range requiring treatment (<0.9), accounting for 5.54%. Left leg ABI index: ABI was within the normal range (1.0-1.3), accounting for 76.31%; ABI was within the warning range (0.9-1.0), accounting for 16.92%; ABI was within the pathological range requiring treatment (<0.9), accounting for 6.77%. ABI index in patients with well-controlled blood pressure: ABI was within the normal range (1.0-1.3), accounting for 82.35%; ABI was within the warning range (0.9-1.0), accounting for 10.59%; ABI was within the pathological range requiring treatment (<0.9), accounting for 7.06%. ABI index in patients with good blood lipid control: ABI was within the normal range (1.0-1.3), accounting for 61.03%; ABI was within the warning range (0.9-1.0), accounting for 27.18%; ABI was within the pathological range requiring treatment (<0.9), accounting for 11.79%. ABI index in patients with hypertension and coronary artery disease: ABI was within the normal range (1.0-1.3), accounting for 63.23%; ABI index was within the warning range (0.9-1.0), accounting for 24.52%; ABI was within the pathological range requiring treatment (<0.9), accounting for 12.26%. Conclusion: The ratio of ABI index between the right and left legs was not different. Measuring the ABI index is valuable in diagnosing lower limb arterial disease and predicting coronary artery disease and stroke. Measuring the ABI index is not only a diagnostic method, the ABI value also reflects the severity of lower limb arterial disease. The lower the ABI value, the more severe the lower limb arterial disease and the higher the risk of cardiovascular events.