颈动脉超声联合血清hs-CPR对糖尿病颈动脉易损斑块的预测  

Combined Application of Carotid Ultrasound and Serum hs-CPR on Predicting Diabetes Carotid Plaque

作　　者：孙琳[1] 马隽[1] 王艳[1] 朱艳彬[1] 

机构地区：[1]北华大学附属医院,吉林吉林132011

出　　处：《北华大学学报（自然科学版）》2015年第4期490-492,共3页Journal of Beihua University（Natural Science）

基　　金：吉林省教育厅科学技术研究项目(2013187)

摘　　要：目的探讨颈动脉超声联合血清超敏C反应蛋白(hs-CRP)对糖尿病颈动脉斑块预测的意义.方法选择608例疑似糖尿病患者,所有患者均检测颈动脉彩超及血清hs-CRP、血糖、血脂等指标.结果正常糖耐量(NGT)组对易损斑块检出率为8%,糖耐量减退(IGT)组对易损斑块检出率为36%,糖尿病(DM)组对易损斑块检出率为65%.结果显示:IGT组、DM组对易损斑块的检出率均明显高于NGT组,差异具有统计学意义.结果颈动脉超声联合血清hs CPR对糖尿病颈动脉斑块检测可为临床糖尿病患者早期检出易损斑块、判断动脉粥样硬化进程提供依据.Objective To investigate the value of carotid ultrasound combined serum hs-CPR on predicting diabetes carotid plaque. Method A total of 608 suspected diabetes patients were enrolled in this study. All the patients were performed carotid artery ultrasonography,and some indexes of the patients including hs-CRP,blood glucose and blood lipids were detected. Results The detection rate of vulnerable plaque of the normal glucose tolerance （ NGT ） group was 8%, the detection rate of vulnerable plaque of the decreased glucose tolerance （IGT） group was 36%,and the detection rate of vulnerable plaque of the diabetes mellitus （DM） group was 65%. The results showed that the detection rates of vulnerable plaque of the IGT group and the DM group were much higher than that of NGT group, and the differences were statistically significant. Conclusion The combined application of carotid ultrasound and serum hs-CPR can provide a basis for the detection of vulnerable plaque as the diagnostic criteria for the process of atherosclerosis.

关 键 词：颈动脉超声 血清 超敏C反应蛋白 糖尿病 易损斑块 

分 类 号：R445.1[医药卫生—影像医学与核医学] R743.3[医药卫生—诊断学]