彩色多普勒超声对糖尿病视网膜病变眼血流动力学及颈动脉关系探究.docVIP

彩色多普勒超声对糖尿病视网膜病变眼血流动力学及颈动脉关系探究作者单位：110031 沈阳市第四人民医院 通讯作者：郭佩琦 【摘要】 目的 通过彩色多普勒超声对糖尿病视网膜病变患者眼血流动力学及颈动脉改变进行研究。方法 选择120例患者，分为糖尿病病例组与对照组，进行彩色多普勒检查，比较两组患者视网膜中央动脉、眼动脉及颈动脉的血流动力学情况。结果 （1）与对照组（D组）比较，糖尿病病例组中无视网膜病变组（A组）、伴背景型视网膜病变组（B组）、伴增殖型视网膜病变组（C组）视网膜中央动脉Vs、Vd减低，RI增高。（2）与对照组比较， A组、B组眼动脉Vs、Vd减低，RI增高。（3）与对照组比较， A组、B组、C组Ds减低，IMT增高。结论 采用彩色多普勒对糖尿病眼动脉、视网膜中央动脉及颈动脉进行测定，可早期发现血流参数的改变，对视网膜病变的防治起重要作用。 【关键词】 彩色多普勒超声； 糖尿病视网膜病变； 视网膜中央动脉； 眼动脉； 颈动脉 A clinical study on haemodynamics of ocular and carotid artery in patients with diabetic retinopathy by CDFI GUO Pei-qi,WANG Yan-xia, MA Gang. The Forth Hospitai of Shenyang, Shenyang 110031, China 【Abstract】 Objective To research the hemodynamic and carotid artery Through the color doppler ultrasonography in patients with diabetic retinopathy.Methods Choose 120 cases of patients, divided into diabetes group and controls group, carry on color Doppler exam, compare two group patients with the haemodynamics of the Central retinal artery，Ophthalmic artery and Carotid artery.Results （1） Compared with the control group, Vs,Vd of Central retinal artery in group A,B and C is lower than the control group, RI is higher than the control group.（2）Compared with the control group, Vs,Vd of Ophthalmic artery in group A,B is lower than the control group, RI is higher than the control group.（3）Compared with the control group, Ds of group A,B and C is lower than the control group,IMT is higher than the control group.Conclusion By color doppler to diabetes Ophthalmic arteries, central retinal artery and carotid artery can be determined, the change of the blood flow parameters found early, to the prevention and control of retinopathy plays an important role. 【Key words】 Color Dopple Ultrasonography; Diabetic retinopathy; Central retinal artery; Ophthalmic artery; Carotid artery 糖尿病性视网膜病变（DR）是引起失明的重要原因之一，及早发现、尽早治疗是防治糖尿病视网膜病变的关键。本文通过彩色多普勒超声对糖尿病视网膜病变患者眼血流动力学及颈动脉改变进行研究，以期为临床诊断、治疗提供更多的依据。 1 资料与方法 1.1 一般资料 选取本院2009年5月～2011年4月住院糖尿病患者90例（180只眼）作为病例组。