颈动脉彩超在2型糖尿病颈动脉病变检测中的临床价值分析  

Analysis of the clinical value of carotid artery color Doppler ultrasound in the detection of carotid artery disease in type 2 diabetes mellitus

作　　者：门翠伟 MEN Cui-wei(Department of Ultrasound,Huludao Central Hospital,Huludao 125000,China)

机构地区：[1]辽宁省葫芦岛市中心医院连山院区超声科,125000

出　　处：《中国现代药物应用》2022年第3期111-113,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析颈动脉彩色多普勒超声(彩超)在2型糖尿病颈动脉病变检测中的临床价值。方法选择100例2型糖尿病患者作为2型糖尿病组,同期100例行颈动脉检查的健康志愿者作为健康组。两组均行颈动脉彩超检查。比较两组颈动脉血管壁内-中膜厚度、颈血流动力学指标。结果2型糖尿病组患者颈内动脉(ICA)、颈外动脉(ECA)、颈总动脉(CCA)血管壁内-中膜厚度分别为(1.29±0.25)、(0.94±0.17)、(1.41±0.22)mm,均明显高于健康组的(0.85±0.09)、(0.73±0.15)、(0.96±0.11)mm,差异具有统计学意义(P<0.05)。2型糖尿病组患者颈总动脉阻力指数(RI)(0.79±0.10)、颈内动脉RI(0.74±0.09)高于健康组的(0.68±0.08)、(0.63±0.08),收缩期血流峰值流速(SPV)(66.74±12.34)、(34.87±13.22)cm/s低于健康组的(95.44±16.15)、(69.44±15.14)cm/s,差异具有统计学意义(P<0.05)。结论在2型糖尿病患者实施颈动脉彩超检查,可帮助临床医生明确颈动脉是否狭窄及狭窄程度,准确反映患者颈动脉血流动力学指标,有助于脑血管意外的早期诊断,为临床预防与治疗提供依据。Objective To analyze the clinical value of carotid artery color Doppler ultrasound in the detection of carotid artery disease in type 2 diabetes mellitus.Methods 100 patients with type 2 diabetes mellitus were selected as the type 2 diabetes mellitus group,and 100 healthy volunteers who had carotid artery examination during the same period were selected as the healthy group.Carotid ultrasound examination was performed in both groups.The intra-medial thickness of the carotid vessel wall and hemodynamic indexes were compared between the two groups.Results The intra-medial thickness of the internal carotid artery(ICA),external carotid artery(ECA),and common carotid artery(CCA)were(1.29±0.25),(0.94±0.17),and(1.41±0.22)mm in the type 2 diabetes mellitus group,which were significantly higher than(0.85±0.09),(0.73±0.15),and(0.96±0.11)mm in the healthy group,and the difference was statistically significant(P<0.05).The common carotid resistance index(RI)(0.79±0.10)and internal carotid RI(0.74±0.09)in the type 2 diabetes mellitus group were higher than(0.68±0.08)and(0.63±0.08)in the healthy group,and the peak systolic velocity(PSV)(66.74±12.34)and(34.87±13.22)cm/s were lower than(95.44±16.15),(69.44±15.14)cm/s in the healthy group,and the differences were statistically significant(P<0.05).Conclusion The application of carotid ultrasound examination in patients with type 2 diabetes mellitus can help clinicians to determine whether the carotid artery is stenosis or not and the degree of stenosis,accurately reflect the hemodynamic indexes of carotid artery in patients,which is helpful for the early diagnosis of cerebrovascular accident and provide a basis for clinical prevention and treatment.

关 键 词：颈动脉彩色多普勒超声 2型糖尿病 颈动脉病变 价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R587.2[医药卫生—诊断学] R743[医药卫生—临床医学]