摘要
目的分析无创动脉检测技术在2型糖尿病合并下肢血管病变的应用价值。方法选择2007年1月～2008年9月治疗的2型糖尿病患者56例为糖尿病组,选择同期健康体检人员60例为对照组,检测脉搏波传导速度(PWV)、踝臂指数(ABI)及脉压指数,对糖尿病组下肢动脉斑块情况进行统计。结果糖尿病组PWV[(19.08±5.16)m/s]高于对照组[(15.40±3.36)m/s],糖尿病组ABI(1.06±0.11)低于对照组(1.14±0.08),糖尿病组脉压指数(0.42±0.04)高于对照组(0.34±0.05),差异均有高度统计学意义(均P<0.01)。其中7例患者ABI<0.9,进一步行下肢动脉彩超发现5例患者有动脉斑块形成。结论无创动脉检测技术对2型糖尿病合并下肢血管病变患者有较好的敏感性,能早期发现动脉硬化和可能存在动脉阻塞患者,为临床早期干预治疗提供较好的应用价值。
Objective To analyze the application value of non-invasive atherosclerosis detection technology in type 2 diabetic patients with lower extremity vascular disease. Methods 56 patients with type 2 diabetes from January 2007 to September 2008 were selected as diabetes mellitus group, 60 cases of healthy personnel were chosen as control group; pulse wave speed （PWV）, ankle-brachial index （ABI） and pulse pressure index were detected, lower limb artery plaque situation of diabetes mellitus group was analyzed. Results PWV in diabetes mellitus group [（19.08±5.16） m/s] was higher than that in control group [（15.40±3.36） m/s], ABI in diabetes mellitus group （1.06±0.11） was lower than that in control group （1.14±0.08）, pulse pressure index in diabetes mellitus group （0.42±0.04） was higher than that in control group （0.34±0.05）, the differences were statistically significant （P 〈 0.01）. 5 cases with artery plaque formation were found by color Doppler ultrasound in 7 cases whose ABI was less than 0.9. Conclusion Non-invasive atheroscle- rosis detection technology has better sensitivity to the early detection of type 2 diabetes patients with atherosclerosis, and can find patients with blocked arteries earlier, provides better value for early clinical intervention.
出处
《中国医药导报》
CAS
2013年第9期54-55,58,共3页
China Medical Herald
基金
广东省中山市卫生局医学科研立项课题(编号J2011204)
