糖尿病并发脑梗死患者下肢动脉病变B超观察  

B-Ultrasound Observation on Lower Extremity Arterial Disease in Patients with Diabetes Mellitus Complicated with Cerebral Infarction

作　　者：温福林[1] 陈敏[1] 郭宓嫣 WEN Fulin;CHEN Min;GUO Miyan(Zhaoqing First People ＂s Hospital,Zhaoqing 526000,China)

机构地区：[1]肇庆市第一人民医院,广东肇庆526000

出　　处：《临床医学工程》2018年第9期1149-1150,共2页Clinical Medicine & Engineering

摘　　要：目的探讨糖尿病并发脑梗死患者下肢动脉病变B超诊断价值。方法选取我院2017年1月至2018年1月收治的65例糖尿病并发脑梗死患者作为观察组,另选取65名同期健康体检者作为对照组。采用B超对两组进行双下肢动脉检查,观察其内-中膜厚度(IMT)、管腔闭塞或狭窄情况、粥样硬化斑块情况。结果观察组的内膜增厚、粥样硬化斑块、管腔狭窄1级发生率均高于对照组(P <0.05)。观察组部分动脉管腔狭窄2级和闭塞发生率显著高于对照组(P <0.05)。结论 B超能够观察到下肢动脉病变情况,可诊断出糖尿病并发脑梗死患者是否发生下肢动脉病变,值得临床推广应用。Objective To explore the diagnostic value of B-ultrasound on lower extremity artery disease in patients with diabetes mellitus complicated with cerebral infarction. Methods 65 cases of patients with diabetes mellitus complicated with cerebral infarction admitted to our hospital from January 2017 to January 2018 were selected as the observation group, another 65 people with healthy physical examination at the same period were selected as the control group. Both groups received B-ultrasound on lower extremity artery, and the inner-middle membrane thickness（IMT）, lumen occlusion or stenosis and atherosclerotic plaques were observed. Results The incidences of intima thickening, atherosclerotic plaques and lumen stenosis grade 1 of the observation group were significantly higher than those of the control group（P 0.05）. The lumen stenosis grade 2 and occlusion of some arteries of the observation group were significantly higher than those of the control group（P 0.05）. Conclusions B-ultrasound can observe the condition of lower extremity artery disease, and diagnose the lower extremity artery disease in patients with diabetes mellitus complicated with cerebral infarction, which is worthy of clinical promotion and application.

关 键 词：糖尿病 下肢动脉病变 脑梗死 B超 诊断效果 

分 类 号：R587.2[医药卫生—内分泌]