高频超声对糖尿病患者颈动脉血流动力学改变及结构的诊断价值  

Value of High Frequency Ultrasound in the Diagnosis of Carotid Artery Hemodynamic Changes and Structure in Diabetes Mellitus Patients

作　　者：占国珍 洪晓冬 董致远 洪晓杏 ZHAN Guo-zhen;HONG Xiao-dong;DONG Zhi-yuan;HONG Xiao-xing(Ultrasound Department of Wuyuan County People's Hospital,Wuyuan 333200,Jiangxi,China;Department of Ultrasound,Wuyuan County Hospital of Traditional Chinese Medicine,Wuyuan 333200,Jiangxi,China;Department of Endocrinology,Wuyuan County People's Hospital,Wuyuan 333200,Jiangxi,China)

机构地区：[1]婺源县人民医院超声科,江西婺源333200 [2]婺源县中医院超声科,江西婺源333200 [3]婺源县人民医院内分泌科,江西婺源333200

出　　处：《医学信息》2024年第18期158-161,共4页Journal of Medical Information

基　　金：上饶市科技计划一般项目(编号:2023CZDX16)。

摘　　要：目的研究高频超声对糖尿病患者颈动脉血流动力学改变及结构的诊断价值。方法选取2022年1月-2023年6月在我院诊治的75例糖尿病患者作为研究组,并选取同期我院体检健康者75名为对照组,两组均进行高频超声检查,比较两组收缩期峰值血流速度(PSV)、舒张末期血流速度(EDV)、血管阻力指数(RI)、颈动脉内中膜复合体厚度(IMT)、斑块数量,分析高频超声不同指标诊断糖尿病颈动脉粥样硬化斑块的效能。结果研究组PSV、EDV小于对照组,RI大于对照组(P<0.05);研究组颈总动脉、颈动脉分叉处以及颈内动脉左、右IMT大于对照组(P<0.05);研究组斑块检出率(86.67%)高于对照组(53.33%),研究组总斑块数为165个,对照组总斑块数量为44个;PSV+EDV+RI+IMT联合诊断糖尿病颈动脉粥样硬化斑块的灵敏度、特异度均高于各指标单一检测(P<0.05)。结论高频超声对糖尿病患者颈动脉血流动力学改变及结构具有较高的诊断价值,可判断颈动脉血流动力学、斑块数量,尤其是各检测指标联合应用可提高糖尿病合并颈动脉粥样硬化斑块的诊断效能,为临床早期治疗和预防提供可靠的依据。Objective To study the diagnostic value of high frequency ultrasound in the changes of carotid hemodynamics and structure in diabetes mellitus patients.Methods A total of 75 diabetes mellitus patients diagnosed and treated in our hospital from January 2022 to June 2023 were selected as the study group,and 75 healthy people who underwent physical examination in our hospital during the same period were selected as the control group.Both groups were examined by high frequency ultrasound.The peak systolic velocity(PSV),end-diastolic velocity(EDV),vascular resistance index(RI),carotid intima-media thickness(IMT),and number of plaques were compared between the two groups.The efficacy of different indicators of high frequency ultrasound in the diagnosis of diabetic carotid atherosclerotic plaques was analyzed.Results PSV and EDV in the study group were lower than those in the control group,and RI was higher than that in the control group(P<0.05).The IMT of common carotid artery,bifurcation of carotid artery and left and right internal carotid artery in the study group were higher than those in the control group(P<0.05).The plaque detection rate of the study group(86.67%)was higher than that of the control group(53.33%),the total number of plaques in the study group was 165,and the total number of plaques in the control group was 44.The sensitivity and specificity of PSV+EDV+RI+IMT combined diagnosis of diabetic carotid atherosclerotic plaque were higher than those of single detection of each index(P<0.05).Conclusion High frequency ultrasound has a high diagnostic value for carotid hemodynamic changes and structure in diabetic patients.It can judge carotid hemodynamics and plaque number.In particular,the combined application of each detection index can improve the diagnostic efficacy of diabetes mellitus with carotid atherosclerotic plaque,and provide a reliable basis for early clinical treatment and prevention.

关 键 词：高频超声 糖尿病 颈动脉血流动力学 结构 

分 类 号：R445[医药卫生—影像医学与核医学]