彩色多普勒对2型糖尿病患者颈动脉硬化的诊断价值

Diagnosis value of color Doppler of carotid atherosclerosis in patients with type 2 diabetes mellitus

目的:评价彩色多普勒超声检测糖尿病患者颈动脉粥样硬化的临床应用价值。方法:应用高频超声对78例2型糖尿病患者和65例非糖尿病患者的颈动脉进行彩色多普勒检查,并观察血管内径、内-中膜厚度、斑块及收缩期峰值流速等。结果:糖尿病组颈动脉粥样硬化发生率较对照组明显增高,粥样硬化斑块的形成与糖尿病病程呈正相关。结论:糖尿病患者颈动脉粥样硬化发生率较高,病变以斑块形成为主要特征,彩超的早期诊断准确、可信,对糖尿病合并脑血管疾病的预防及糖尿病的综合治疗具有重要的临床指导价值。

Objective： Evaluate the diagnostic value of carotid atherosclerosis plaque in patients with diabetes mellitus by color Doppler ultrasonography. Methods： 78 cases with type 2 diabetes mellitus and 65 cases non-diabetes mellitus were studied with color Doppler by using highfrequency ultrasonography,observing lumen of carotid artery,intima-medium thickness, identification of plaques and determination of blood flow velocities in the carotid artery. Results： The occurring rate of carotid atherosclerosis plaque Was significantly increased than that of the control group. Intima-medium thickness and identification of plaques is directly related to the age, blood glucose, and course of diabetes mellitus. Conclusions： the occurring rate of carotid atherosclerosis plaque is very high in the group of diabetes mellitus. The main character is plaques. The early diagnosis of color Dopple is exact and reliable. Finally,the color Doppler is very effective on preventting and theraty for diabetes and have important clinical value.