摘要
目的探究老年2型糖尿病患者血管病变现状及其超声定期检查的防治价值。方法回顾性分析2018年2月—2019年2月该院就诊的老年2型糖尿病(T2DM)患者127例,采用多普勒超声检测患者血管管腔粥样硬化、狭窄、闭塞情况,探究老年T2DM患者血管病变现状,并采用踝肱指数(ABI)检测仪测量患者踝动脉及肱动脉血压,与超声结果进行比较,探究超声定期检查的防治价值。结果根据彩色多普勒超声检测单纯T2DM组35例,单纯颈部血管病变21例,单纯下肢血管病变31例,颈部及下肢血管病变40例,血管病变发生率为72.44%;随年龄增加,老年T2DM血管病变发生率逐渐增加,超过70岁的患者发病率高于<70岁患者,特别是80岁以上患者的发生率为100%;随病程延长,老年T2DM血管病变发生率逐渐上升,1~5年的发病率为16.67%,而5~10年的发病率骤然增长到54.17%。超声检测血管病变的发生率为72.44%,高于ABI的35.43%(P<0.05)。结论超声检测老年T2DM患者血管病变发生率为72.44%,检出率较高,可操作性强,对于病程超过5年,年龄>70岁的患者需定期进行超声检测,及早治疗。
Objective To explore current status of vascular lesions and prevention value of regular ultrasound examinations in elderly patients with type 2 diabetes mellitus(T2 DM).Methods A retrospective analysis was performed on one hundred and twenty-seven elderly T2 DM patients who were treated in the hospital from February 2018 to February 2019.Doppler ultrasound was applied to detect atherosclerosis,stenosis and occlusion of vascular lumen.The current status of vascular lesions in elderly T2 DM patients was explored.The ankle-brachial index(ABI)detector was applied to measure blood pressure of ankle and brachial arteries.And the results were compared with ultrasound results.The prevention value of regular ultrasound examination was explored.Results According to color Doppler ultrasound detection,there were 35 cases with T2 DM,21 cases with neck vascular lesions,31 cases with lower limb vascular lesions,and 40 cases with neck and lower limb vascular lesions.The incidence of vascular lesions was 72.44%.With age increasing,incidence of vascular lesions in elderly T2 DM patients was gradually increased.The incidence in patients older than 70 years old was higher than that in patients lower than 70 years old.Especially those older than 80 years old,their incidence were 100%.With disease course prolonging,incidence of vascular lesions in elderly T2 DM patients was gradually increased.The morbidity within 1-5 years was 16.67%,while morbidity within 5-10 years suddenly increased to 54.17%.The incidence of vascular lesions detected by ultrasound was higher than that by ABI(72.44%vs.35.43%)(P<0.05).Conclusion The incidence of vascular lesions in elderly T2 DM patients is 72.44%detected by ultrasound,and detection rate is high.The operability is strong.For patients with diseasecourse longer than 5 years and age older than 70 years old,regular ultrasound detection is needed for early treatment.
作者
李文强
周庆
牟春霖
胥莲江
LI Wenqiang;ZHOU Qing;MOU Chunlin;XU Lianjiang(Department of Function,Luzhou Hospital of Traditional Chinese Medicine,Luzhou 646000,China)
出处
《中国煤炭工业医学杂志》
2021年第1期29-33,共5页
Chinese Journal of Coal Industry Medicine
基金
四川省卫生厅基金资助项目(编号:20160351)。
关键词
2型糖尿病
老年人
血管病变
多普勒超声定期检查
Type 2 diabetes mellitus
Elderly
Vascular lesion
Regular ultrasound examination
