探讨血管超声综合评估2型糖尿病患者颅内外动脉粥样硬化性病变的临床意义  

Exploring the Clinical Significance of Vascular Ultrasonography in Compre⁃hensive Evaluation of Intracranial and Intracranial Atherosclerotic Lesions in Patients with Type 2 Diabetes Mellitus

作　　者：王海英 黄志珍 李桥福[1] WANG Haiying;HUANG Zhizhen;LI Qiaofu(The Second Hospital of Longyan City,Longyan,Fujian Province,364000 China)

机构地区：[1]龙岩市第二医院,福建龙岩364000

出　　处：《糖尿病新世界》2022年第19期40-42,46,共4页Diabetes New World Magazine

摘　　要：目的 探讨血管超声综合评估2型糖尿病患者颅内外动脉粥样硬化性病变的临床意义分析。方法 选择2020年1月—2022年1月在龙岩市第二医院收治的以诊断为2型糖尿病并接受血管超声检查患者391例为研究组,另选取接受血管超声检查非糖尿病患者391例为对照组。比较两组血管超声检查中颈总动脉内中膜厚度(IMT)、阻力指数(RI)、搏动指数(PI)数值,明确IMT增厚、粥样斑块、血管狭窄率,分析颅内外动脉狭窄情况。结果 研究组IMT、RI指数、PI指数均高于对照组,差异有统计学意义(P<0.05)。研究组患者血管超声检查结果中IMT增厚、粥样斑块、血管狭窄率均高于对照组,差异有统计学意义(P<0.05)。组内相比颅内动脉狭窄率高于颅外。结论 在2型糖尿病患者颅内外动脉粥样硬化性病变的血管超声综合评估中,较无2型糖尿病疾病者比较,IMT增厚、粥样斑块、血管狭窄率更高。通过血管超声可有效对2型糖尿病患者颅内外动脉粥样硬化性病变综合评估。Objective To discuss the clinical significance of vascular ultrasound in comprehensive evaluation of intracranial and intracranial atherosclerotic lesions in patients with type 2 diabetes.Methods From January 2020 to January 2022,391 patients who were diagnosed with type 2 diabetes in the Second Hospital of Longyan City and received vascular ultrasound examination in the recent period(period)were selected as the study group.Another 391 nondiabetic patients who received vascular ultrasonography were selected as the control group.The values of intimamedia thickness(IMT),resistance index(RI)and pulsatility index(PI)of common carotid artery in vascular ultrasound examination were compared between the two groups,and the IMT thickening,atherosclerotic plaque and vascular stenosis rate were determined.Analysis of intracranial and intracranial arterial stenosis.Results The IMT index,RI index and PI index of the study group were higher than those of the control group,and the difference was statistically significant(P<0.05).The rate of IMT thickening,atheromatous plaque and vascular stenosis in the results of vascular ultrasonography in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).Compared with intra-group,intracranial artery stenosis rate was higher than extra-cranial.Conclusion In the comprehensive evaluation of vascular ultrasonography of intracranial and intracranial atherosclerotic lesions in patients with type 2 diabetes mellitus,compared with patients without type 2 diabetes mellitus,the rates of IMT thickening,atheromatous plaque and vascular stenosis are higher.Vascular ultrasonography can effectively comprehensively evaluate intracranial and extracranial atherosclerotic lesions in patients with type 2 diabetes.

关 键 词：血管超声 综合评估 2型糖尿病 颅内外 动脉粥样硬化性病变 诊断价值 

分 类 号：R587.1[医药卫生—内分泌]