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2019, vol. 10, br. 2, str. 128-135
Detekcija periferne arterijske bolesti kod pacijenata sa tipom 2 dijabetes melitusa u ambulanti porodične medicine
aJZU Dom zdravlja Banja Luka, Republika Srpska, Bosna i Hercegovina + Univerzitet u Banjoj Luci, Medicinski fakultet, Republika Srpska, BiH
bJZU Dom zdravlja "Dr Mladen Stojanović", Laktaši, Republika Srpska, Bosna i Hercegovina

e-adresabiljana.lakic@med.unibl.org
Ključne reči: periferna arterijska bolest; pacijent; tip 2 dijabetes melitusa; pedo-brahijalni (PB) indeks
Sažetak
Uvod. Periferna arterijska bolest (PAB) je progresivna, okluzivna, aterosklerotska bolest krvnih sudova, a pacijenati sa dijabetes melitusom (DM) imaju značajno veći rizik za razvoj ove bolesti. Cilj ove studije je bio da se utvrdi učestalost PAB kod pacijenata sa tipom 2 DM mjerenjem pedo-brahijalnog (PB) indeksa u ambulanti porodične medicine. Metode. Studija presjeka je uključila pacijente sa tipom 2 DM registrovane u ambulantama porodične medicine Doma zdravlja Laktaši. Mjerenje PB indeksa je vršeno na oscilometrijskom aparatu "Boso ABI Mess 100", a PAB je dijagnostikovana ako je vrijednost PB indeksa bila manja od 0,9 ili veća od 1,3. Rezultati. Ispitivanje je obuhvatilo 178 (90 muškaraca) ispitanika sa tipom 2 DM preko 50 godina starosti. PAB je registrovana kod 26 (14,6%) ispitanika, sa potvrđenom značajnom razlikom u PB indeksu (lijeva/desna noga) između pacijenata sa PAB i pacijenata bez PAB (0,82/0,84 vs. 1,04/1,05; p < 0,01). Prosječno trajanje DM bilo je duže kod bolesnika sa u odnosu na one bez PAB (12 vs. 8 godina; p = 0,097), a srednje vrijednosti HbA1c su bile podjednake u obje grupe (7,7% vs. 7,9% ; p = 0,634). Nije potvrđena razlika u učestalosti hipertenzije, dislipidemije i gojaznosti između bolesnika sa, odnosno bez PAB, ali je bilo značajno više pušača među bolesnicima sa PAB (p<0,01). Zaključak. Prevalencija PAB kod ispitanih pacijenata sa tipom 2 DM je iznosila 14,6%. Dijabetes je trajao neznačajno duže kod pacijenata sa PAB i među njima je bilo značajno više pušača nego u grupi bez PAB. Edinburški upitnik za klaudikacije je bio pozitivan kod samo trećine pacijenata sa PAB. Mjerenjem PB indeksa se može rano dijagnostikovati PAB kod mnogo većeg broja pacijenata sa tipom 2 DM nego primjenom Edinburškog upitnika.
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O članku

jezik rada: srpski
vrsta rada: izvorni naučni članak
DOI: 10.7251/BII1902128L
primljen: 24.03.2019.
prihvaćen: 16.07.2019.
objavljen u SCIndeksu: 31.03.2021.