糖尿病并发脑梗死患者的下肢动脉病变B超观察  

B-scan Observation on Arteriopathological Change of Lower Limbs in Diabetes Patients Complicated by Cerebral Infarction

作　　者：杨正宇[1] 罗晓惠[1] 肖春华[1] 刘淑媛[1] 张红莲[1] 杨云霞[1] 彭霞[1] 吴进[1] 周红英[1] 舒可[1] 师娟[1] 郭莞莹[1] 王若怡[1] 

机构地区：[1]云南昆明市第一人民医院神经内科,b超室昆明650011

出　　处：《神经病学与神经康复学杂志》2005年第3期145-146,共2页Journal of Neurology and Neurorehabilitation

摘　　要：目的探讨糖尿病并发脑梗死的下肢动脉病变 B 超检查的临床意义。方法采用 B 超,观察20例糖尿病并发脑梗死患者双侧腘动脉和足背动脉的管壁形态、血流方向,测量血管内径及血流速度。结果 20例中血管内膜粗糙、增厚(Ⅰ型)的占30%;血管管腔内粥样硬化斑块形成(Ⅱ型)的占50%;管腔明显狭窄(Ⅲ型)的占20%。结论定期对糖尿病并发脑梗死的患者进行下肢动脉 B 超检查,对尽早在治疗脑梗死的同时,发现和治疗下肢动脉病变有较大的帮助。Objective This paper tries analysing arteriopathological change of lower limbs in diabetes patients complicated by cerebral infarction.Methods B-scan was used to determine the vascular wall form of the bilateral popliteal artery and dorsal artery of the food,the direction of the blood flow,the endovascular caliber,and the veloci- ty of the blood flow.Results Thickening of the endangium(Ⅰ-type)amounted to 30%;atheromatous plaque for- marion within the vascular lumen(Ⅱ-type),50%;marked narrowing vascular lumen(Ⅲ-type),20%.Conclusion It is necessary for the patients with diabetes complicated by cerebral infaction to examine the artereopathological change of lower limbs by the use of B-scan.While the patients are treated for cerebral infarction,they should prevent and be treated for the artereopathological change of lower limbs as early as possible.

关 键 词：糖尿病 脑梗死 下肢动脉病变 B超 

分 类 号：R587.1[医药卫生—内分泌] R743.3[医药卫生—内科学]