摘要
[目的]观察糖尿病足中医证型与下肢动脉超声影像相关性。[方法]使用前瞻性设计相关研究方法,选择50例住院患者,辨证分型,使用彩色多普勒超声诊断仪（PHILIPS iu22型,探头频率1.5~10MHz,设定血流朝向探头为红色,背向探头为蓝色,取样容器置于血管纵切面中央彩色血流明亮处,声速和血流方向角度≤30°）,取患者仰卧位和俯卧位,充分暴露检查部位,从上至下依次扫查股动脉、腘动脉、胫后动脉、足背动脉。观测中医证型、血管走行、管腔充盈程度、管壁内-中膜厚度、管壁光滑程度及有无斑块（大小、形态、回声）,动脉内径、血液峰值流速。[结果]气阴两虚12例,血脉瘀阻16例,湿热毒盛8例,寒湿阻络8例,热毒伤阴6例。动脉内径：股动脉气阴两虚小于血脉瘀阻、湿热毒盛（P〈0.05）、热毒伤阴小于血脉瘀阻、湿热毒盛（P〈0.05）,腘动脉内径热毒伤阴小于湿热毒盛（P〈0.05）,其余各证型无明显差异（P〉0.05）。动脉血液峰值流速：胫后动脉、足背动脉气阴两虚低于血脉瘀阻、湿热毒盛、寒湿阻络（P〈0.05）,其余各证型无明显差异（P〉0.05）。[结论]糖尿病足中医证型与下肢动脉超声影像具有相关性,下肢动脉受累与糖尿病病程正相关,气阴两虚型最重,血脉瘀阻型较轻。
[Objective] To observe the TCM Syndromes of diabetic foot and lower extremity artery ultrasound image correlation. [Method] Using prospective research methods related to design, select 50 patients, syndrome differentiation, using color Doppler ultrasonic diagnostic apparatus（PHILIPS iu22, probe frequency 1.5~10MHz, set the flow toward the transducer is red, blue back to the probe, sampling container is arranged in the longitudinal central vascular color Doppler bright, sound velocity and flow direction angle is smaller than 30 DEG）, in supine and prone position, fully exposed to check parts, from top to bottom in turn scanning of femoral artery, popliteal artery, posterior tibial artery, the dorsal artery of foot. Observation of TCM Syndromes of vascular lumen, walking, filling degree, tube wall intima-media thickness, wall smooth degree and plaques（size, shape, echo）, arterial diameter, the peak velocity of blood.[Results] The 12 cases of deficiency of both qi and Yin, 16 cases of blood stasis, dampness heat toxic in 8 cases, 8 cases of cold dampness, poison Yin in 6 cases. Arterial diameter： femoral artery blood stasis, deficiency of both qi and Yin is smaller than the dampness heat toxic（P0.05）, poison Yin less than blood stasis, dampness heat toxic（P0.05）, popliteal artery diameter less than dampness heat toxic poison Yin（P0.05）, no significant differences in the rest of the card type（P0.05）. Artery blood flow peak velocity： the posterior tibial artery, dorsalis pedis artery blood stasis, deficiency of both Qi and Yin is lower than that of dampness heat toxic, cold dampness（P0.05）, no significant differences in the rest of the card type（P0.05）. [Conclusion] With the correlation between TCM Syndromes of diabetic foot and lower extremity artery ultrasound image, lower extremity arterial involvement is related with duration of diabetes, the most important of deficiency of Qi and Yin, blood stasis resistance type lighter.
出处
《实用中医内科杂志》
2015年第4期15-17,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
糖尿病足
中医证型
下肢动脉超声
彩色多普勒超声诊断仪
双下肢动脉内径
双下肢动脉血液峰值流速
气阴两虚
血脉瘀阻
湿热毒盛
寒湿阻络
热毒伤阴
循证医学
相关研究
diabetic foot syndrome of TCM lower extremity artery ultrasound color doppler ultrasonic diagnostic apparatus double lower limbs artery diameter lower limbs artery blood flow peak velocity Qi and Yin deficiency blood stasis dampness heat toxic cold dampness poison Yin correlation evidence based medicine
