超声对2型糖尿病合并缺血性脑血管病患者的颈动脉内中膜厚度及斑块评价的应用价值.docVIP

精品论文 参考文献 超声对2型糖尿病合并缺血性脑血管病患者的颈动脉内中膜厚度及斑块评价的应用价值 崔煜艳 刘书丽 赵伟华 　　(沈阳市第四人民医院超声科 辽宁沈阳 110031) 　　【摘要】目的 探讨超声测量颈动脉内-中膜厚度(IMT) 及斑块在2型糖尿病合并缺血性脑血管病中的应用价值。方法 使用彩色多普勒超声仪对糖尿病与缺血性脑血管病组60例及正常对照组60例进行颈部血管彩超检查，并对IMT及斑块情况进行检测，分析相互之间的关系。结果 糖尿病与与缺血性脑血管病组颈动脉平均IMT厚度明显高于对照组。糖尿病与与缺血性脑血管病组颈动脉斑块阳性率及血管狭窄率明显高于对照组。结论 超声不仅可以检测2型糖尿病患者IMT及斑块，并可以确定斑块的性质，为临床预测缺血性脑血管病组的发生提供参考依据。 　　【中图分类号】R445.1 【文献标识码】A 【文章编号】2095-1752（2014）09-0215-02 　　Value of ultrasound for carotid - media thickness and arteriosclerosis plaque in type 2 diabetes mellitus with ischemic cerebrovascular disease patients 　　Cui yu-yan,Liu Shu-li,Zhao wei-hua 　　(Department of Ultrasonography, ShenyangFourth Peoples Hospital,Shenyang 110031,Liaoning ,China) 　　【Abstract】 Objective To explore the ultrasound measurements of carotid - media thickness (IMT) and plaque in type 2 diabetic patients with ischemic cerebrovascular disease.Methods 60 patients with type 2 diabetes with ischemic cerebrovascular disease as observation group，at the same time from outpatient randomly 60 cases of healthy people as control group. All subjects were performed cervical blood vessels colour to exceed examination， the IMT and plaque measurement，analysis t he relationship between each other. Results The carotid artery IMT in type 2 diabetic with ischemic cerebrovascular disease group was significantly higher than that of control group. The positive rate of plaque and vascular stenosis in type 2 diabetic with ischemic cerebrovascular disease group was significantly higher than that of control group. Conclusion Ultrasonic can better testing in patients with type 2 diabetes IMT and plaque formation，as well as to determine the nature of the plaques，provide reference for clinical predict the occurrence of ischemic cerebrovascular disease. 　　脑血管疾病是2型糖尿病患者常见的并发症,并且是常见的死亡原因。脑血管疾病的病变的基础是动脉粥样硬化(atherosclerosis，AS)，颈动脉内中膜厚度（intima-media thickness，IMT）可作为早期AS诊断的客观指标。因此，本文通过超声检测2型糖尿病合并缺血性脑血管病患者的颈动脉内中膜厚度及斑块形成，