PREVALENCIA DE LA ENFERMEDAD ARTERIAL PERIFÉRICA EN PACIENTES DIABETICOS TIPO 2, APLICANDO EL INDICE TOBILLO - BRAZO EN EL HOSPITAL "SEGURO SOCIAL UNIVERSITARIO"
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Rev. Méd. La Paz
Abstract
La enfermedad arterial periférica (EAP) es causa importante de ulceraciones persistentes, dolor y amputaciones en pacientes con diabetes tipo 2. Esta enfermedad es de 2 a 4 veces mayor en pacientes con diabetes que la población general. El índice tobillo/brazo (ITB) ecodoppler portátil, menor de 0,90 tiene una sensibilidad de 90 % y una especificidad de 95 % para el diagnostico de la enfermedad arterial periférica, es simple, barato, rápido y reproducible. Objetivo: Determinar la prevalencia de la enfermedad arterial periférica en pacientes diabéticos tipo 2 calculando el índice tobillo/ brazo con ecodoppler portátil. Material y métodos: Es un estudio prospectivo, trasversal, descriptivo y aplicativo, se aplicó y se midió el índice tobillo/brazo con ecodoppler portátil a 76 pacientes con diabetes mellitus tipo 2, como criterio de inclusión fueron: pacientes con Diabetes Mellitus tipo 2, criterios de exclusión: pacientes con ITB ≥ 1,3. Se utilizó tensiómetro con manguito manual, ecodoppler portátil, gel conductor, bolígrafos Resultados: De los 76 pacientes que se realizaron la medición del índice tobillo/brazo con ecodoppler, 16 (21.05%) pacientes tienen según el índice Tobillo/brazo EAP, 50 (65.78%) pacientes tenían índice dentro la normalidad y 10(13.15%) no valorable. , prevalencia fue de 18.89% (13.52%, 24,25%) Conclusiones: La prevalencia de la enfermedad arterial periférica en pacientes con diabetes mellitus tipo 2 es de prevalencia de 18.89% (13.52%, 24,25%).
Peripheral arterial disease (PAD ) is an important cause of persistent ulcerations , pain and amputations in patients with type 2 diabetes. This disease is 2 to 4 times higher in patients with diabetes than the general population. The ankle/brachial index (ABI) doppler portable, less than 0.90 as a sensitivity of 90 % and a specificity of 95 % for the diagnosis of peripheral arterial disease, is simple, inexpensive , rapid and reproducible. Objective: To determine the prevalence of peripheral arterial disease in type 2 diabetic patients by calculating the ankle/brachial index with portable Doppler ultrasound. Material and methods: A prospective , transversal, descriptive and application study was applied and the ankle/brachial index with portable Doppler ultrasound was measured in 76 patients with diabetes mellitus type 2 , as inclusion criteria were: patients with type 2 diabetes , exclusion criteria : patients with ABI ≥ 1.3. Tensiometer with manual sleeve, portable doppler , conductive gel, pens Results were used: Of the 76 patients that the measurement of the ankle/brachial index were performed with Doppler ultrasound , 16 (21.05 %) patients have under Ankle / brachial index EAP, 50 ( 65.78 %) patients were within normal rate and 10 (13.15 %) were not assessable, Prevalence was 18.89 % (13.52 % , 24.25% ) Conclusions: The prevalence of peripheral arterial disease in patients with type 2 diabetes mellitus prevalence is 18.89 % (13.52% , 24.25%) .
Peripheral arterial disease (PAD ) is an important cause of persistent ulcerations , pain and amputations in patients with type 2 diabetes. This disease is 2 to 4 times higher in patients with diabetes than the general population. The ankle/brachial index (ABI) doppler portable, less than 0.90 as a sensitivity of 90 % and a specificity of 95 % for the diagnosis of peripheral arterial disease, is simple, inexpensive , rapid and reproducible. Objective: To determine the prevalence of peripheral arterial disease in type 2 diabetic patients by calculating the ankle/brachial index with portable Doppler ultrasound. Material and methods: A prospective , transversal, descriptive and application study was applied and the ankle/brachial index with portable Doppler ultrasound was measured in 76 patients with diabetes mellitus type 2 , as inclusion criteria were: patients with type 2 diabetes , exclusion criteria : patients with ABI ≥ 1.3. Tensiometer with manual sleeve, portable doppler , conductive gel, pens Results were used: Of the 76 patients that the measurement of the ankle/brachial index were performed with Doppler ultrasound , 16 (21.05 %) patients have under Ankle / brachial index EAP, 50 ( 65.78 %) patients were within normal rate and 10 (13.15 %) were not assessable, Prevalence was 18.89 % (13.52 % , 24.25% ) Conclusions: The prevalence of peripheral arterial disease in patients with type 2 diabetes mellitus prevalence is 18.89 % (13.52% , 24.25%) .
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Vol. 20, No. 1