糖尿病下肢血管病变中医证型与彩色多普勒超声结果的相关性研究  

Correlation Between TCM Syndrome Types and Color Doppler Ultrasonography of Diabetic Lower Extremity Vascular Disease

作　　者：赵佩亮 王园园[2] 王乾[1] 李彦辉[1] 

机构地区：[1]保定市第一医院,河北保定071000 [2]保定市第一中心医院,河北保定071000

出　　处：《中华中医药学刊》2016年第12期3050-3052,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：保定市科技局项目(15ZF066)

摘　　要：目的:研究糖尿病下肢血管病变中医证型与彩色多普勒超声结果的相关性,为临床诊疗提供依据。方法:350例糖尿病下肢血管病变者,根据辨证分型将患者分为阴血两虚型108例(I组)、气虚血瘀型105例(II组)、阴虚血瘀型69例(III组)和湿热瘀阻型68例(IV组),所有患者均给予彩色多普勒超声检查,比较血管狭窄程度,股总动脉、腘动脉、足背动脉血管内径及血流速度。结果:IV组年龄和病程均显著高于I组、II组和III组(P<0.05),I组、II组和III组比较差异无统计学意义(P>0.05);III组和IV组血管重度狭窄率显著高于I组和II组(P<0.05),III组和IV组及I组和II组重度狭窄率比较均无统计学意义(P>0.05);I组和II组股总动脉、腘动脉、足背动脉血管内径显著大于III组和IV组(P<0.05),血流速度显著高于III组和IV组(P<0.05),I组和II组、III组和IV组比较差异无统计学意义(P>0.05)。结论:彩色多普勒超声检查有助于初步辨别糖尿病下肢血管病变中医证型,与中医证型存在一定关系。Objective： To study the correlation between TCM syndrome types and color Doppler ultrasonography of diabetic lower extremity vascular disease to provide the basis for clinical diagnosis and treatment.Methods： A total of 350 cases of diabetic lower extremity vascular disease were selected and divided into 108 cases in Yin-blood deficiency group（group Ⅰ）,105 cases in qi deficiency and blood stasis group（group Ⅱ）,69 cases in Yin deficiency and blood stasis group（group Ⅲ） and 68 cases in damp-heat and blood stasis group（group Ⅳ） according to the syndromes.All patients were given color Doppler ultrasound.The degree of vascular stenosis,femoral artery,popliteal artery,dorsalis pedis artery diameter and blood flow velocity were compared.Results：The age and course of group Ⅳ were significantly higher than those of group Ⅱ,group Ⅰ and group Ⅲ（P〈0.05）.There was no significant difference among group Ⅰ,group Ⅱ and group Ⅲ（P〈0.05）.The rate of severe stenosis of group Ⅲ and group Ⅳ was significantly higher than that in group Ⅰ and group Ⅱ（P〈0.05）.The severe stenosis rates of group Ⅲ and group Ⅳ,group Ⅱ and group Ⅰ were not statistically significant（P〈0.05）.The femoral artery,popliteal artery and dorsalis pedis artery diameter of group Ⅰ and group Ⅱ were significantly higher than those in group Ⅲ and group Ⅳ（P〈0.05）.The blood flow rate was significantly higher than that of group Ⅲ and group Ⅳ（P〈0.05）.There was no significant difference between group Ⅰ and group Ⅱ or group Ⅲ and group Ⅳ（P〈0.05）.Conclusion： Color Doppler ultrasound examination was helpful for the initial identification of TCM syndrome types of diabetic lower extremity vascular disease.There was a certain relationship between TCM syndrome types and TCM syndrome types.

关 键 词：糖尿病 下肢血管病变 中医证型 彩色多普勒超声 

分 类 号：R587.1[医药卫生—内分泌]