NGHIÊN CỨU ĐẶC ĐIỂM TỔN THƯƠNG ĐỘNG MẠCH CHI DƯỚI Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYP 2 CÓ BỆNH THẬN MẠN TÍNH CHƯA ĐIỀU TRỊ THAY THẾ BẰNG SIÊU ÂM DOPPLER MẠCH MÁU

Abstract

Purpose: Characteristics of lower extremity artery disease lesions on Doppler ultrasound in patients with type 2 diabetes and chronic kidney disease at the Center for Kidney, Urology and Dialysis and the Department of Endocrinology - Diabetes in 2022-2023. Subjects and methods: Cross-sectional descriptive study, on 80 patients with type 2 diabetes with chronic kidney disease examined and treated at: Department of Endocrinology - Diabetes, Bach Mai Hospital and Kidney - Urology Center, Bach Mai Hospital. Results: The 80 patients had a mean age of 68.93 ± 10.28 years; Mainly male patients, average time to detect diabetes is 12.67 ± 7.32. The proportion of patients with stage 1 lower extremity artery disease is 46.3%; Next is the stage 2 injury group (with intermittent claudication) accounting for 43.8%. 98.8% of patients did not have foot ulcers. The rate of limb artery damage detected on ultrasound in 80 research patients was 52.5%. We did not note a relationship between age, time of disease detection, BMI, smoking, hypertension, HbA1c and left leg ABI index. However, gender factor is associated with ABI (p < 0.05). The average ABI in both the right and left legs was highest in stage 1 patients and lowest in stage 3 according to Fontain classification (statistically significant difference p < 0.01). Conclusions: No relationship was noted between age, disease detection time, BMI, smoking, hypertension, HbA1c and left leg ABI index. However, gender factor is associated with ABI (p < 0.05). The average ABI in both the right and left legs was highest in stage 1 patients and lowest in stage 3 according to Fontain classification (statistically significant difference p < 0.01).