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作 者:邹良英[1] 赖吉安 游宇光[1] 宋建明[1] 陈卫华[1]
机构地区:[1]赣南医学院第一附属医院超声诊断科,江西341000 [2]赣南医学院第二附属医院泌尿外科
出 处:《当代医学》2016年第34期3-5,共3页Contemporary Medicine
基 金:江西省赣州市科技局课题(锁骨下动脉窃血综合征甲状腺动脉血流频谱特点[2013]32)
摘 要:目的探究分析颈动脉和下肢动脉超声对新诊断2型糖尿病患者动脉粥样硬化的检出率及与心脑血管事件的关系。方法选择236例新诊断2型糖尿病患者进行研究,对所有患者均进行颈动脉和下肢动脉超声检查,根据检查结果比较分析超声同时检查颈动脉与下肢动脉对动脉粥样硬化病变的检出结果,并对所有患者进行随访,对患者心脑血管事件进行统计。结果所有新诊断2型糖尿病患者的动脉粥样硬化确诊例数为男69例(62.73%),女82例(65.08%),差异无统计学意义。对分组检测患者比较,联合诊断组患者男性、女性和总检出率分别为69例(62.73%),女82例(65.08%)和151(63.98%),显著高于单纯颈动脉超声检查患者的检出率,差异有统计学意义(P<0.05)。对所有患者心脑血管事件进行随访比较发现,颈动脉和下肢动脉均发生硬化的糖尿病患者的心脑血管事件总发生率达到20.00%,显著高于单纯颈动脉硬化患者,差异有统计学意义(P<0.05)。结论单纯通过劲动脉超声检查患者的动脉粥样硬化,检出率明显较低,联合下肢动脉超声可以显著提高动脉粥样硬化的检出率,且联合检查有利于判断新诊断2型糖尿病患者是否发生心脑血管事件,临床建议广泛使用。Objective To explore and analyze ultrasound in the diagnosis of the lower extremities and carotid artery with newly diagnosed type 2 diabetes patients with atherosclerosis detection rate and its relationship with cardiovascular events.Methods 236 patients with newly diagnosed type 2 diabetic patients studied, 110 cases of male, female 126 cases. All patients underwent carotid artery ultrasound and lower extremities, comparative analysis of two methods of ultrasonic diagnosis of atherosclerosis detection results, and all patients were followed for patients with cardiovascular and cerebrovascular events based on statistical ifndings.Results All newly diagnosed atherosclerosis number of cases diagnosed with type 2 diabetes for 69 males (62.73%), female 82 cases (65.08%), no significant difference. Compared to patients on the packet detection, diagnosis joint group of male patients, female and total detection rate was 69 cases (62.73%), female 82 cases (65.08%) and 151 (63.98%) was signiifcantly higher than that in patients with carotid artery ultrasound examination detection rate, data obviously statistically signiifcant (P〈0.05). All patients with cardiovascular and cerebrovascular events were followed up for comparison, carotid and lower extremity arteries hardening of diabetic cardiovascular events overall incidence rate of 20.00%, signiifcantly higher than carotid atherosclerosis patients, data were signiifcantly different (P〈0.05).Conclusion Simple Jin artery ultrasound patient examination through atherosclerosis, signiifcantly lower detection rate, combined with lower extremity arteries can signiifcantly improve atherosclerosis detection rate and the Joint Inspection judgment in favor of newly diagnosed type 2 diabetes whether cardiovascular events, clinical recommendations widely used.
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