2型糖尿病患者颈动脉和下肢动脉粥样硬化斑块超声检查及影响因素分析

Doppler Ultrasonography Results and Influencing Factors of Atherosclerotic Plaques in Carotid Artery and Lower Extremity Arteries of Type 2 Diabetes Patients

目的通过分析超声联合检查2型糖尿病患者颈动脉、下肢动脉粥样硬化斑块程度,明确糖尿病患者大血管并发症的情况,以便指导治疗。方法对103例2型糖尿病住院患者超声检查颈动脉和下肢动脉斑块情况,分析其特点及其相关因素。结果糖尿病患者颈动脉斑块、下肢动脉斑块及均有斑块者比例约为3∶2∶6,并且严重程度与病程、年龄相关(P<0.05),不同病程糖尿病患者血糖、血脂水平及高血压患病率间差异均无统计学意义(P>0.05)。结论对2型糖尿病患者监测血管超声,对血脂、血糖早期进行干预并长期监测使达标,可以延缓大血管病进展,减少患者脑梗死、冠心病和糖尿病足等大血管病的发病率。

Objective Doppler ultrasonography results of atherosclerotic plaques of carotid artery and lower extremity arteries were analyzed in patients with type 2 diabetes to get an idea of diabetic vascular complications in these patients so as to provide more effective treatment.Methods A total of 103 patients with type 2 diabetes were enrolled with the characteristics and related factors of the atherosclerotic plaques in carotid artery and lower extremity arteries analyzed.Results Degrees of atherosclerotic plaques（carotid artery/lower extremity arteries/ carotid artery＋lower extremity arteries：3/2/6） were correlated with disease course and age（P0.05）.Differences in blood glucose levels,blood lipids levels,and incidence rate of hypertension among patients of different disease course showed no statistical significance（P0.05）.Conclusion Control of risk factors and monitoring of vascular ultrasound,as well as blood lipids and blood glucose in the early stages might help to reduce the incidence rate of complications in type 2 diabetes and delay the onset of cerebral infarctions,coronary heart disease and diabetes foot.