彩色多普勒超声对糖尿病患者颈动脉与下肢动脉的检测分析  

Analysis and Detection on Carotid and Lower Extremity Arteries with Color Doppler Ultrasound

作　　者：吴晓萍[1] 张永恒[1] 贾志军[1] 

机构地区：[1]内蒙古医学院附属医院超声科,内蒙古呼和浩特010050

出　　处：《内蒙古医学杂志》2009年第2期158-160,共3页Inner Mongolia Medical Journal

摘　　要：目的:探讨2型糖尿病与颈动脉、下肢动脉粥样硬化的关系及临床意义。方法:对150例2型糖尿病患者与110例正常人的颈动脉与下肢动脉进行彩色多普勒超声检测,并对比分析相关内容。结果:糖尿病组与正常组斑块发生率差异有显著性(P<0.05),且下肢动脉斑块的发生率高于颈动脉(P<0.01),随着年龄增加,糖尿病患者动脉硬化发病率增高,60岁以上组颈动脉与下肢动脉斑块的发生率明显高于60岁以下组(P<0.01)。糖尿病组内膜粗糙增厚发生率颈动脉为53.33%,下肢动脉88.66%。结论:彩色多普勒超声可早期发现糖尿病患者颈动脉、下肢动脉粥样硬化,有助于临床及时预防和治疗,预防糖尿病动脉硬化以60岁以前为关键时期。Objective：To investigate the relationship and clinical significance between 2 diabetes and carotid and lower extremity arteries atherosclerosis. Methods：The color Doppler Ultrasonic examination was performed in 150 diabetic patients and 110 health adults , then comparison and analysis research of related contents and results were given. Results： The incidennce of atheroma between the health adults group and diabetic group was significantly different （P 〈 0.05）. The prevalence rates of atheroma was gradually rising with the increase of age. The incidence of atheroma in group aged more than 60 was higher than in group aged less than 60 （P 〈 0.01 ）. The incidence of atheroma in lower extremity arteries was higher than in carotid （P 〈 0.01 ）. In the diabettic group , The incidence rate of vessels intima thickening and roughness in carotid was 53.33 %, in lower extremity arteries 88.66 %. Conclusions： Carotid and lower extremity arteries atherosclerosis could be early detected with the color Doppler ultrasonic examination . It was helpful to prevent and treat atherosclerosis in time in clinical practice, the best duration on prevention was before 60 years old.

关 键 词：超声 糖尿病 颈动脉 下肢动脉 粥样硬化 

分 类 号：R730.41[医药卫生—肿瘤]