彩色多普勒超声检测高血压及糖尿病患者眼球后动脉血流动力学特点研究.docVIP

GIP Chinese General Practice 2011年3月第14卷第3C期 · 951 · · 论 著 · 彩色多普勒超声检测高血压及糖尿病患者眼球后动脉 血流动力学特点研究 王冬梅 【摘要】 目的 用彩色多普勒超声研究高血压、糖尿病患者的眼球后动脉血流动力学特点。方法 选择80例高 血压患者(高血压组)、80例糖尿病患者(糖尿病组)及80例健康者(对照组),用彩色多普勒超声检测3组受检者 的眼球后动脉[包括眼动脉 (OA)、 视网膜中央动脉 (CRA)、 视网膜中央静脉 (CRV) 及睫状动脉 (SPCA)] 频谱 形态，比较3组受检者4支动脉的血流动力学参数。结果 高血压组患者眼球后动脉 (OA、CRA、SPCA) 血流速度 [包括收缩期峰值流速 (Vmax)、 舒张末期流速 (Vmin)] 均显著减慢，而阻力指数 (RI) 均显著增高，呈低流速高阻 力状态，与对照组比较，差异有统计学意义 (P0.05)。 糖尿病组患者 OA、CRA、SPCA 血流速度均显著减慢， RI 均 显著增高，与对照组比较差异亦有统计学意义 (P0.01)。 两组受检者CRV 血流速度稍加快。结论 彩色多普勒超声 检查对评价高血压、糖尿病患者眼球后动脉血流动力学改变有较重要的价值。 【关键词】 高血压；糖尿病；眼动脉；视网膜动脉；视网膜静脉；睫状动脉；超声检查，多普勒，彩色；血流 动力学 【中图分类号】 R544.1 R587.1 【文献标识码】 A 【文章编号】1007-9572(2011)03-0951-03 Detection of Ocular Hemodynamics in Patients with Hypertension or Diabetes Mellitus by Color Doppler UIltrasound WANG Dong-mei. The First Central Haspital of Baoding,Baoding 071000,China 【Abstract】 Objective To explore the ocular hemodynamics in patients with hypertension or diabetes mellius by color Doppler ultrasound(CDU). Methods Totally 80 patients with hypertension(hypertension group), 80 patients with diabetes mellitus(DM group), and 80 healthy subjects(control group) were enrolled in this study. CDU was applied to detect the fre- quency spectra of postocular vessels, including the ocular artery(OA),central cetinoartery(CRA),central vein(CRV), and short posterior ciliary artery(SPCA). The hemodanymic parameters of these four vessels were compared. Results Com- pared with the control group, the bloodstream speed [ including peak systolic velocity(Vmax)and end diastolic flow velocity (EDV)] of OA,CRA,and SPCA significantly decreased, and resistance index(RI)significantly increased in hypertension group(all P0.05), showing a status of low flow speed and high resistance. Compared with the control group, the blood- stream speed [including peak systolic velocity(Vmax)and end diastolic flow velocity(EDV)] of OA,CRA,and SPCA also signific