眼供血动脉血流变化与非对称性DR的关系.PDFVIP

维普资讯 · 306 · ChinOphthalRes，April2008，Vo1．26，No．4 · 临 床 研 究 · 眼供血动脉血流变化与非对称性 DR的关系 安建斌 韩 瑶 张彤迪 Hemodynamics in intraocular blood supply arteries in patients with asymmetricdiabeticretinopathy AnJianbin，HanYao，ZhangTongdi．DepartmentofOphthalmology，SecondClinicalHospitalof HebeiMedical University，Shijiazhuang050000，China Abstract Objective Generally．thesymmetricalofpathologicalchangewasf0undinbotheyeswithdiabeticretinopathy (DR)．ButthedegreeofDR inbotheyesisindiscrepancyinafew patientsinclinic．Thispaperwastoinvestigatethe relationshipbetweenhemodynamicchangesinblood supplyarteriesand asymmetricDR． M ethods ColorDopplerimaging (CDI)wasusedtoquantitatepeaksystolicvelocity(PSV)，enddiastolicvelocity(EDV)andresistanceindex(RI)ofinternal carotidartery(ICA)，ophthalmicartery(OA)andcentralretinalartery(CRA)in34patientswithasymmetricdiabeticretinopathy inbotheyes．Accordingtothedegreeofdiabeticretinopathy，alldatawasdivided intoseveregroup andmildgroup． Results TherewasasignificantdecreaseinPSVofICA，OAandCRA insevereretinopathygroup(39．97±5．24cm／s，22．79±3．24cm／s， 6．74±0．79cm／s)comparedwithmildretinopathygroup(46．91±6．60cm／s，27．35±5．44cm／s，8．62±1．10cm／s，P0．01)． TherewasasignificantdecreaseinEDV of1CAandCRA insevereretinopathygroup(18．56±3．91cm／s，2．41±0．48cm／s) comparedwithmildretinopathygroup(21．26±4．65cm／s，2．99±0．55cm／s，P0．01)．TherewasasignificantincreaseinRI ofCRA insevereretinopathygroup(0．67±0．06)comparedwithmildretinopathygroup(0．63±0．05，P0．01)． Conclusion The imbalance ofblood supply in two eyes in diabetic patientsmightbe the importantcausewhich results in the asymmetric diabeticretinopathy． Keywords diabeticretinopathy；hemodynamics