高血压合并糖尿病患者颈动脉彩色多普勒超声检查的临床观察  

Clinical Observation of Carotid Artery Color Doppler Ultrasound in Patients with Hypertension and Diabetes Mellitus

作　　者：王丽 WANG Li(Fengcheng Central Hospital,Fengcheng 118100,China)

机构地区：[1]辽宁省凤城市中心医院,辽宁凤城118100

出　　处：《中国医学创新》2021年第9期150-153,共4页Medical Innovation of China

摘　　要：目的:观察彩色多普勒超声检查高血压合并糖尿病患者颈动脉粥样硬化的超声图像特点,探讨其使用价值。方法:对2018年10月-2020年10月于本院就诊确诊的182例高血压、糖尿病患者颈动脉彩色多普勒超声检查资料进行回顾性分析,其中单纯高血压患者58例为A组,单纯糖尿病患者65例为B组,高血压合并糖尿病患者59例为C组,选取同时期于本院进行健康体检的正常人群60例为对照组。所有患者均进行颈动脉彩色多普勒超声检查,比较各组的颈动脉粥样硬化检出情况及斑块发生时的血流情况。结果:A、B、C组三组颈动脉内中膜厚度、颈动脉分叉处内中膜厚度均高于对照组,且C组最高,四组比较差异均有统计学意义(P<0.05)。A、B、C组PSV、EDV均低于对照组,RI、PI均高于对照组,其中C组的PSV、EDV均低于A、B组,RI、PI均高于A、B组,差异均有统计学意义(P<0.05)。结论:高血压合并糖尿病患者发生颈动脉粥样硬化率远远高于正常人群及单纯高血压、糖尿病患者,且颈动脉彩色多普勒超声检查简单无创,值得在临床早期诊断中推广应用。Objective:To observe the characteristics of color Doppler ultrasound in detecting carotid atherosclerosis in patients with hypertension and diabetes mellitus,to explore its application value.Method:The carotid color Doppler ultrasound data of 182 patients with hypertension and diabetes diagnosed in our hospital from October 2018 to October 2020 were retrospectively analyzed.Among them,58 patients with hypertension alone were classified as group A,65 patients with diabetes alone as group B,59 patients with hypertension combined with diabetes mellitus as group C,60 cases of healthy people in our hospital at the same time were selected as the control group.All patients were examined by color Doppler ultrasound,the detection of carotid atherosclerosis and the blood flow of plaque in each group were compared.Result:Carotid intima-media thickness and carotid bifurcation intima-media thickness in group A,B and C were higher than those in control group,group C was the highest,the differences were statistically significant(P<0.05).PSV and EDV of group A,B and C were lower than those of control group,RI and PI were higher than those of control group,PSV and EDV of group C were lower than those of group A and B,RI and PI were higher than those of group A and B,the differences were statistically significant(P<0.05).Conclusion:The incidence of carotid atherosclerosis in patients with hypertension and diabetes mellitus is much higher than that in normal people and patients with simple hypertension and diabetes mellitus,the color Doppler ultrasound examination of carotid artery is simple and noninvasive,which is worthy of promotion and application in early clinical diagnosis.

关 键 词：高血压 糖尿病 颈动脉 彩色多普勒超声 

分 类 号：R445.1[医药卫生—影像医学与核医学] R544.1[医药卫生—诊断学] R587.2[医药卫生—临床医学]