2型糖尿病患者颈动脉与颅底动脉血流相关分析  

Comparative Analysis on Blood Hemodynamics of Carotid Artery and Cerebral Arteries in Patients with Type 2 Diabetes Mellitus

作　　者：叶传江[1] 高咏 曲延顺[1] 王路[1] 庄丽[1] 

机构地区：[1]新疆兵团医院功能科,乌鲁木齐830002 [2]新疆巴州人民医院超声科

出　　处：《医学研究杂志》2007年第7期83-85,共3页Journal of Medical Research

摘　　要：目的探讨彩色多普勒超声(CDFI)与经颅多普勒(TCD)对2型糖尿病患者颈动脉及颅底动脉血流动力学改变的诊断特点与应用价值。方法对2型糖尿病患者67例和正常对照人群53例均行颈动脉CDFI及颅底动脉TCD检查。使用CD-FI测量颈动脉内膜-中层厚度(IMT),观察管壁有无斑块、斑块性质、分类及血流动力学变化。使用TCD检测颅底动脉血流参数并记录。结果67例糖尿病患者中,CDFI检出颈动脉粥样硬化46例,TCD检出颅底动脉血流异常56例,明显高于对照组(P<0.01)。颅底动脉与颈动脉均显示异常42例,两者高度相关(P<0.01)。结论CDFI与TCD联合应用对糖尿病患者的颈动脉病变及颅底动脉的检出预测有实际指导意义。Objective To investigate the diagnosis and application value of Color Doppler Flow Imaging （ CDFI ） and Transcranial Doppler （TCD） on blood hemodynamics of carotid artery and cerebral arteries in patients with type 2 diabetes mellitus. Methods Sixty - seven patients with type 2 diabetes mellitus and 53 normal subjects were examined on blood hemodynamics of carotid artery and cerebral arteries by CDFI and TCD, and their ultrasonographic features were recorded and compared. Results Forty - six of 67 patients have ath- erosclerosis on carotid artery by CDFI, 56 of 67 patients have abnormal on cerebral arteries by TCD, there were significant difference between the patients and normal groups（ P 〈 0.01 ）. Forty- two of 67 have abnormal on cerebral arteries and carotid artery by TCD and CD- FI, both is high related（ P 〈 0.01 ）. Conclusions It＇ s plays an important role in predicting and diagnosing Carotid Artery and Cerebral Arteries in Patients with Type 2 Diabetes mellitus by use of CDFI and TCD.

关 键 词：糖尿病 彩色多普勒超声 经颅多普勒 颈动脉 颅底动脉 

分 类 号：R544.1[医药卫生—心血管疾病]