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高频彩超用于糖尿病颈总动脉血管病变诊断的临床研究

Clinical Diagnosis Research of Carotid Artery Vascular Lesions in Patients with Diabetes by High-Frequency Ultrasound
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摘要 目的研究高频彩超用于观察诊断糖尿病颈总动脉血管病变的价值。方法选择2013年1月至2014年11月来我院进行诊疗的糖尿病患者52例为病例组,选择同期来我院门诊部进行体检且年龄、性别与观察组匹配非糖尿病健康人员52例为对照组,比较两组颈总动脉内径(CCAD)、内-中膜厚度(IMT)、血流动力学指标[阻力指数(RI)、收缩期峰值流速(SPV)、舒张期峰值流速(EDV)、平均峰值流速(APV)、搏动指数(PI)]及动脉粥样斑块检出情况。结果病例组IMT、CCAD均显著高于对照组,差异均具有统计学意义(均P<0.05);病例组SPV、EDV、APV均显著小于对照组,RI、PI均显著大于对照组,两组差异均具有统计学意义(均P<0.05);病例组斑块数量显著多于对照组,差异具有统计学意义(P<0.05)。结论高频彩超可简单有效的检测出糖尿病患者颈总动脉血管病变,具有重要的诊断价值。 Objective To explore the clinical diagnosis evaluation of diabetes carotid artery vascular lesions by High - Frequency Ultrasound. Methods 52 cases with type 2 diabetes in our hospital were selected as the experimental group. At same time, 52 cases non - diabetes were selected as control group. All the cases were scanned by high - frequency ultrasound and were observed. The fol- lowing indexes were recorded: the film thickness (IMT), carotid artery diameter (CCAD), hemodynamic parameters, pulsation in- dex (PI) , vascular resistance index (RI) and atheromatous plaque. Results The IMT and CCAD of the experimental group were higher than those of the control group, with statistically significant difference (P 〈 0. 05), SPV, EDV and APV of the experimental group were significantly less than the control group, while the RI and PI were significantly greater than the control group, with statisti- cally significant difference ( P 〈 0. 05 ). The number of athermanous plaques of the experimental group were 47, which was significant- ly greater than that of control group ( P 〉 0.05 ). Conclusion The high - frequency ultrasound was simple and effective to detect the carotid artery vascular lesions in patients with diabetes, which is of great diagnostic value.
作者 王艳文 徐辉
出处 《辽宁医学院学报》 CAS 2015年第6期83-84,共2页 Journal of Liaoning Medical University (LNMU) Bimonthly
关键词 高频彩超 糖尿病 颈总动脉 血管病变 high - frequency ultrasound diabetes carotid artery vascular lesions
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