2型糖尿病合并高血压患者颈动脉内膜-中层厚度的改变

THICKNESS CHANGE OF CAROTID ARTERY′S INTIMA MEDIA IN TYPE 2 DIABETES COMPLICATED WITH HYPERTENSION

目的 :探讨 2型糖尿病合并高血压患者颈动脉粥样硬化的特点。方法 :采用超声多普勒技术高频探头对 12 3例 2型糖尿病 (其中合并高血压 64例 )及 79例正常对照进行了颈动脉内膜 -中层厚度 (CAIMT)、颈动脉内径 (CADIA)及斑块的测定。结果 :CAIMT<0 .8m m与≥ 0 .8m m组比较 ,≥ 0 .8mm组患者年龄、糖尿病病程、高血压病程、合并高血压例数、SBP、WHR、FINS、CHO、TG、UAL B较 <0 .8mm组明显增高 ,斑块指数更大。结论 :2型糖尿病与高血压二者的综合因素比单纯糖尿病 CAIMT增厚更明显 。

Objective:To investigate the feature of carotid atherosclerosis,and detect the changes of carotid arterial intima media′s thickness (CAIMT) in type 2 diabetes complicated with hypertension.Methods:Ultrasonic Doppler examination was conducted in 202 cases,including 59 type 2 diabetes alone,64 type 2 diabetes complicated with hypertension,and 79 controls for CAIMT,intracarotid diameter,and plaque formation.Results:The group with CAIMT ≥0 8 mm had noticeably greater data in ages,course of diabetes,course of hypertension,both complicated cases,systolic blood pressure (SBP),waist hip ratio (WHR),fasting insulin level (FINS),serum total cholesterol (CHO),triglycerides (TG),and urinary albumin (UALB) than the group with CAIMT <0 8 mm;the former′s plaque index (PLI) was also much higher than the latter′s.Conclusion:Type 2 diabetes complicated with hypertension can improve the thickening of carotid artery′s intima media much more than the diabetes alone,and also facilitate the plaque formation.