彩色多普勒超声对2型糖尿病患者颈动脉病变诊断价值.docVIP

彩色多普勒超声对2型糖尿病患者颈动脉病变诊断价值 　　[摘要] 目的 探讨彩色多普勒超声对2型糖尿病患者颈动脉病变的诊断价值。 方法 选择2011年6月～2013年6月间我院超声科就诊的50例2型糖尿病患者为实验组，选择同期就诊的正常就诊者50例为对照组。两组患者均在治疗前采用彩色多普勒超声检查两侧颈动脉，测量并比较两组患者的颈动脉内膜中层厚度（IMT）、粥样硬化斑块数量、面积、管腔内径（AD）、收缩期峰值流速（Vs）、舒张末期流速（Vd）及阻力指数（RI）。 结果 实验组患者的颈动脉IMT、粥样硬化斑块数量及面积[（1.54±0.47）mm、（5.15±2.14）个、（1.65±0.36）cm2]均明显大于对照组[（0.78±0.21）mm、（1.44±0.33）个、（0.54±0.17）cm2]（t=3.91、6.67、5.57，P0.01），实验组患者的AD[（7.78±1.17）mm]明显小于对照组[（8.43±2.53） mm]（t=2.14，P0.05），实验组患者的Vs、Vd值[（66.57±12.38）cm/s、（17.06±5.51）cm/s]较对照组[（71.06±13.54）cm/s、（18.82±5.82）cm/s]明显减慢（t=2.14、2.21，P0.05），实验组患者的RI值[（0.71±0.18）]较对照组[（0.64±0.14）]明显升高（t=2.23，P0.05）。 结论 2型糖尿病患者采用彩色多普勒超声检测颈动脉能在早期发现颈动脉病变，对诊断及预防糖尿病性血管病变具有重要的临床价值。 　　[关键词] 彩色多普勒超声；2型糖尿病；颈动脉病变；诊断 　　[中图分类号] R445.1 [文献标识码] B [文章编号] 1673-9701（2015）04-0101-03 　　[Abstract] Objective To discuss diagnosis value of color doppler flow imaging on carotid lesions of patients with type 2 diabetes mellitus. Methods 50 cases of patients with type 2 diabetes mellitus were given the medical treatment during the period from June 2011 to June 2013 colleced in our hospital， and they were selected as experimental group， and 50 cases of healthy people were given the ordinary examination at the same period， they were selected as control group. The patients in two groups were both given the examination of bilateral common carotid artery by color doppler flow imaging before treatment， and the carotid artery intima-media thickness （IMT）， number and area of atherosclerotic plaque， arterial diastolic inner diameter （AD）， peak systolic velocity （Vs）， end-diastolic velocity （Vd） and resistance index（RI） of patients in two groups were measured and compared. Results The carotid artery IMT and number and area of atherosclerotic plaque of patients in experimental group[（1.54±0.47） mm， （5.15±2.14） number， （1.65±0.36） cm2] were obviously thicker， more and larger than those in control group [（0.78±0.21）mm， （1.44±0.33）number， （0.54±0.17）cm2] （t=3.91， 6.67， 5.57， P 　　[Key words] Color doppler flow im