血管回声跟踪技术在2型糖尿病合并高尿酸血症患者颈动脉弹性功能中的评估价值  

Type 2 Diabetes Mellitus Combined with Hyperuricemia: Evaluation Value of Echo-tracking Technology in Carotid Elasticity in Patients

作　　者：杨旭[1] 段云燕[1] 张雪梅[2] 赵宏波[1] 何新民[1] 

机构地区：[1]西安医学院医学技术系影像教研室,陕西西安710021 [2]陕西省人民医院超声科,陕西西安710068

出　　处：《现代生物医学进展》2016年第21期4106-4108,共3页Progress in Modern Biomedicine

基　　金：陕西省科学技术研究发展计划项目(2013K12-09-07);西安医学院科研基金项目(2008FZ-9)

摘　　要：目的:应用血管回声跟踪技术(ET)评价2型糖尿病(T2MD)及合并高尿酸血症(HUA)患者颈动脉弹性的变化。方法:应用ET技术检测76例T2DM患者(其中合并HUA者为A组39例;尿酸正常者为B组37例)及40例健康体检者(C对照组)颈动脉弹性,计算僵硬度指数(β)、颈动脉压力-应变弹性系数(Ep)、顺应性(AC)、扩张指数(AI)及脉搏波传导速度(PWVβ)等各指标的变化。结果:A组研究对象β、EP、PWVβ水平均显著高于B组与C组(P<0.05),AC水平显著低于B组与C组(P<0.05);B组研究对象β、EP、PWVβ水平均显著高于C组(P<0.05),AC水平显著低于C组(P<0.05),各组间AI均无统计学意义。结论:ET技术能发现2型糖尿病及合并高尿酸血症患者早期颈动脉弹性的变化。Objective： To evaluate the change of carotid elasticity in patients with type 2 diabetes mellitus（T2DM） combined with hyperuricemia（HUA） by echo-tracking technology（ET）. Methods： The carotid elasticity of 76 patients with T2DM（39 cases of high uric acid hematic as group A and 37 cases of normal uric acid as group B） and 40 healthy examined people were detected by ET. the level of stiffness parameters（β）, arterial compliance（AC）, pressure-strain elastic modulus（Ep）, pulse wave conducting velocity（PWVβ） and augmentation index（AI）among the three groups were detected and compared by ET technology. Results： The levels of β, EP and PWVβ in the group A were significantly higher than those in the group B and group C（P〈0.05）, and the level of AC in the group A was significantly lower than that in the group B and group C（P〈0.05）. The level of β, EP and PWVβ in the group B were significantly higher than those in the group C, and the level of AC in the group B was significantly lower than that of group C（P〈0.05）. There was no statistical difference in AI among these groups. Conclusion： The early elastic changes of carotid artery in patients with T2 DM combined with hyperuricemia can be diagnosed by ET.

关 键 词：血管回声跟踪技术 糖尿病 高尿酸血症 颈动脉弹性 

分 类 号：R587.2[医药卫生—内分泌]