THE MEASUREMENT OF ATHEROSCLEROTIC PERIPHERAL ARTERIAL-DISEASE IN EPIDEMIOLOGICAL SURVEYS
THE MEASUREMENT OF ATHEROSCLEROTIC PERIPHERAL ARTERIAL-DISEASE IN EPIDEMIOLOGICAL SURVEYS
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DOI：
10.1093/ije/17.2.248
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发表时间：
1988-06-01
影响因子：
7.7
通讯作者：
FOWKES, FGR
中科院分区：
文献类型：
--
作者：
FOWKES, FGR
在心血管调查中，世卫组织间歇性跛行问卷传统上被用作下肢动脉粥样硬化性外周动脉疾病的衡量标准。但该问卷的价值有限，因为动脉粥样硬化性疾病通常是无症状的。本文综述了调查问卷的效度和信度研究以及外周动脉疾病的简易无创检测方法。这些测试包括测量踝臂收缩压比、跑步机运动测试、反应性充血测试和评估脚趾脉搏再现时间。这些非侵入性测试的表现是这样的，它们应该与间歇性跛行问卷一起用于下肢动脉粥样硬化性外周动脉疾病的流行病学研究。
In cardiovascular surveys, the WHO questionnaire on intermittent claudication has traditionally been used as a measure of atherosclerotic peripheral arterial disease of the lower limbs. But the questionnaire is of limited value because atherosclerotic disease is frequently asymptomatic. Research on the validity and reliability of the questionnaire and the simpler non-invasive tests of peripheral arterial disease are reviewed. These tests include measurement of the ankle-brachial systolic pressure ratio, a treadmill exercise test, a reactive hyperaemia test and assessment of toe-pulse reappearance time. The performance of these non-invasive tests is such that they should be used, in conjunction with the intermittent claudication questionnaire, in epidemiological studies of atherosclerotic peripheral arterial disease of the lower limbs.