2型糖尿病合并高血压患者颈动脉斑块与左室舒张末内径相关性分析  

Correlation analysis of carotid artery plaque and left ventricular end diastolic diameter in patients with type 2 diabetes mellitus and hypertension

作　　者：沈琼娜 SHEN Qiong-na(Department of Endocrinology,the First people's hospital of Bengbu,Bengbu,Anhui 233000,China)

机构地区：[1]蚌埠市第一人民医院内分泌科

出　　处：《中国处方药》2019年第10期154-155,共2页Journal of China Prescription Drug

摘　　要：目的探讨2型糖尿病合并高血压患者颈动脉斑块与左室舒张末内径是否相关。方法选取2型糖尿病合并高血压住院患者270例,行颈动脉超声检查是否有斑块形成,分为有斑块形成组及无斑块形成组,均行心脏彩超检查左室舒张末内径,比较两组间结果是否存在差异。结果2型糖尿病合并高血压患者中颈动脉斑块的检出率为59.63%;有斑块组左室舒张末内径值高于无斑块组,且差异有统计学意义(P<0.05),且左室舒张末内径升高组患颈动脉斑块的风险较正常组增加1.092倍(P=0.008)。结论左室舒张末内径是影响2型糖尿病合并高血压患者颈动脉斑块形成的危险因素,且为独立危险因素,筛查左室舒张末内径对颈动脉斑块有很好的预测作用。Objective To investigate the correlation between carotid artery plaque and left ventricular end diastolic diameter in patients with type 2 diabetes mellitus and hypertension. Methods A total of 270 hospitalized patients were selected for carotid artery ultrasound examination for plaque formation, divided into the plaque formation group and the non-plaque formation group,and underwent left ventricular end diastolic diameter( LVEDD) examination by cardiac colordoppler ultrasound. Results The detection rate of carotid artery plaque in type 2 diabetes mellitus patients with hypertension was 59.63%. The left ventricular end-diastolic diameter of the plaque group was higher than that of the non-plaque group,and the difference was statistically significant( P < 0.05),and the risk of carotid artery plaque in the group with increased end-diastolic diameter of the left ventricle was 1.092 times higher than that in the normal group. Conclusion Left ventricular end-diastolic diameter is a risk factor for carotid artery plaque formation in patients with type 2 diabetes mellitus and hypertension,and it is an independent risk factor. Therefore,screening left ventricular end diastolic diameter is a good predictor of carotid plaque.

关 键 词：2型糖尿病 高血压 颈动脉斑块 左室舒张末内径 

分 类 号：R587.1[医药卫生—内分泌] R544.1[医药卫生—内科学]