超声心动图诊断糖尿病患者主动脉瓣钙化及狭窄临床价值.docVIP

超声心动图诊断糖尿病患者主动脉瓣钙化及狭窄临床价值 　　[摘要]目的 探讨超声心动图诊断糖尿病患者主动脉瓣钙化及主动脉瓣狭窄的临床价值。方法 选择2013年5月～2016年4月我院收治的糖尿病患者60例作为观察组，选择同期本院体检中心的健康体检人员60例（无高血压、糖尿病等疾病）作为对照组。应用GE ViVid7型彩色多普勒超声诊断仪检测两组有无主动脉瓣钙化及钙化部位，观察主动脉瓣瓣口面积，测量主动脉瓣跨瓣压差，评价主动脉瓣狭窄程度。结果 观察组主动脉瓣钙化的发生率为68.3%（41/60），显著高于对照组的28.3%（17/60），差异有统计学意义（P0.01）。观察组主动脉瓣狭窄的发生率为58.3%（35/60），对照组18.3%（11/60），差异有统计学意义（P0.01）。结论 超声心动图检测糖尿病患者主动脉瓣钙化及狭窄有重要的临床价值，对糖尿病并发症的防治具有重要意义。 　　[关键词]超声心动图；糖尿病；主动???瓣钙化；主动脉瓣跨瓣压差；主动脉瓣狭窄 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 1674-4721（2016）07（c）-0103-03 　　[Abstract]Objective To explore the clinical value of ultrasonic cardiogram in diagnosis of aortic valve calcification and aortic value stenosis in patients with diabetic.Methods 60 patients with diabetes treated in our hospital from May 2013 to April 2016 were selected as observation group，60 cases of healthy volunteers （without Hypertension，diabetes） in medical center of our hospital at the same period were selected as control group.GE ViVid7 color Doppler ultrasonic diagnostic instrument was used to detect that patients in two groups had or not aortic valve calcification and parts of calcification.Aortic leaf area and aortic cross valve differential pressure were measured，stenosis degree of aortic value was evaluated.Results The incidence of aortic valve calcification in the observation group was 68.3% （41/60），which was significantly higher than 28.3% （17/60） in the control group，with a significant difference （P0.01）.The incidence of aortic value stenosis in the observation group was 58.3% （35/60），which was significantly higher than 18.3% （11/60） in the control group，with a significant difference （P0.01）.Conclusion Ultrasonic cardiogram has important clinical value for detection of the incidence of calcification and aortic valve stenosis in diabetic patients，which is of great importance for prevention and treatment of serious complications in diabetic patients. 　　[Key words]Ultrasonic cardiogram；Diabetes；Aortic valve calcification；Aortic valve differential pressure