彩色多普勒超声对2型糖尿病患者颈动脉粥样硬化的诊断分析  

Diagnostic Analysis of Color Doppler Ultrasonography in the Treatment of Carotid Atherosclerosis in Patients with Type 2 Diabetes Mellitus

作　　者：揭翠萼 李世樟 李冰锋 Jie Cui'e;Li Shizhang;Li Bingfeng(Nanhai District No.7 People's Hospital,Guangdong Province,Foshan 528247)

机构地区：[1]广东省佛山市南海区第七人民医院

出　　处：《数理医药学杂志》2019年第12期1774-1775,共2页Journal of Mathematical Medicine

摘　　要：目的:对2型糖尿病患者采用彩色多普勒检查,分析颈动脉粥样硬化的影像表现,分析超声检查的临床价值。方法:选取某院2016年1月~2016年12月收治的62例2型糖尿病患者,按照尿蛋白定性结果进行分组,阳性组31例,阴性组31例。对比两组患者的IMT、动脉斑块以及狭窄情况。结果:阳性组IMT显著高于阴性组,对比差异显著,P<0.05;阳性组颈动脉粥样硬化斑块发生率左侧、右侧、双侧显著高于阴性组,对比差异显著,P<0.05;阳性组颈动脉狭窄发生率左侧、右侧、双侧对比阴性组没有显著差异,P>0.05。结论:采用彩色多普勒超声检查2型糖尿病患者,其颈动脉粥样硬化和狭窄能够有效辨别出来,若是患者临床中出现蛋白尿,那么颈动脉斑块出现的机率也会上升。Objective:To examine the type 2 diabetes mellitus patients with color Doppler ultrasonography and analyze the imaging manifestations of carotid atherosclerosis to analyze the clinical value of ultrasound examination.Methods:62 patients with type 2 diabetes admitted to a hospital from January 2016 to December 2016 were selected and divided into groups according to the qualitative results of urine protein:31 patients in the positive group and 31 patients in the negative group.The IMT,arterial plaque and stenosis were compared between the two groups.Results:IMT in positive group was significantly higher than that in negative group(P<0.05);The incidence of carotid atherosclerotic plaque in positive group was significantly higher in the left,right and bilateral groups than in the negative group,with a significant difference(P<0.05);There was no significant difference in the incidence of carotid stenosis in the left,right and bilateral between the positive group and the negative group(P>0.05).Conclusion:Carotid atherosclerosis and stenosis in patients with type 2 diabetes mellitus can be effectively identified by color Doppler ultrasound.If proteinuria occurs in patients,the incidence of carotid plaque will increase.

关 键 词：2型糖尿病 彩色多普勒 颈动脉粥样硬化 尿蛋白定性 

分 类 号：R445.1[医药卫生—影像医学与核医学]