基于高频超声评估糖尿病患者关节病变情况及与血糖水平关系的价值研究  

The Value of High-frequency Ultrasound in Assessing Joint Lesions in Patients with Diabetes and Its Relationship with Blood Glucose Levels

作　　者：曾宸 陈海兰[1] 陈薇[1] 蔡吓明[2] ZENG Chen;CHEN Hailan;CHEN Wei;CAI Xiaming(Department of Ultrasound,Affiliated Hospital of Putian College,Putian,Fujian Province,351100 China;Department of Endocrinology,Affiliated Hospital of Putian University,Putian,Fujian Province,351100 China)

机构地区：[1]莆田学院附属医院超声科,福建莆田351100 [2]莆田学院附属医院内分泌科,福建莆田351100

出　　处：《糖尿病新世界》2022年第13期166-169,共4页Diabetes New World Magazine

摘　　要：目的 分析高频超声检查用于检查糖尿病患者关节病变情况及与血糖水平关系的价值。方法 选取莆田学院附属医院2020年1月—2021年10月收治的2型糖尿病患者120例(240个关节),设为糖尿病组;另选取同期在莆田学院附属医院接受体检的健康体检者120名(240个关节),设为对照组。全部研究对象均接受高频超声检查,对两组声像图特征进行总结,并分析糖尿病患者膝关节病变与餐后血糖、糖尿病病程的相互关系。结果 与对照组相比,糖尿病组的外侧滑囊积液、内侧滑囊积液及髌上囊积液均明显增加,差异有统计学意义(P<0.05)。在糖尿病病程逐渐增加的过程中,膝关节滑囊病变的发生率显著增加,差异有统计学意义(P<0.05)。餐后血糖水平<9 mmol/L者的膝关节病变率显著低于餐后血糖水平≥9 mmol/L者,差异有统计学意义(P<0.05)。膝关节病变与糖尿病餐后血糖水平存在显著相关性(P<0.05)。结论 采用高频超声检查能准确、清晰显示糖尿病患者膝关节早期病理改变,为早期诊治提供指导;且膝关节病变与糖尿病患者的病程、餐后血糖水平密切相关。Objective To analyze the value of high-frequency ultrasonography in examining joint lesions in diabetic patients and its relationship with blood glucose levels.Methods A total of 120 patients with type 2 diabetes(240 joints) admitted to the Affiliated Hospital of Putian College from January 2020 to October 2021 were selected as the diabetes group;120 healthy people(240 joints),as the control group.All research subjects received high-frequency ultrasonography,and the sonographic features of the two groups were summarized,and the relationship between knee joint lesions in diabetic patients,postprandial blood glucose,and duration of diabetes was analyzed.Results Compared with the control group,the lateral bursa effusion,medial bursa effusion and suprapatellar bursa effusion in the diabetes group were significantly increased,and the difference was statistically significant(P<0.05).The incidence of knee bursa lesions increased significantly in the process of increasing diabetes duration,and the difference was statistically significant(P<0.05).The knee joint disease rate of patients with postprandial blood glucose level <9 mmol/L was significantly lower than that of patients with postprandial blood glucose level≥9 mmol/L,and the difference was statistically significant(P<0.05).There was a significant correlation between knee joint disease and diabetic postprandial blood glucose level(P<0.05).Conclusion High-frequency ultrasonography can accurately and clearly display the early pathological changes of the knee joint in diabetic patients,and provide guidance for early diagnosis and treatment.And knee joint disease is closely related to the course of diabetes and postprandial blood glucose level.

关 键 词：高频超声 糖尿病 膝关节病变 血糖水平 病程 

分 类 号：R587.1[医药卫生—内分泌]