TCD在糖尿病并发脑血管病变中的应用

Application of TCD in diabetic cerebrovascular disease

目的比较2型糖尿病患者与非糖尿病人群的经颅多普勒超声(TCD)结果,探讨TCD在糖尿病脑血管病变中的价值,尽早进行糖尿病脑血管并发症的防治工作。方法对临床确诊的30例2型糖尿病患者和32例非糖尿病人行TCD检测,对照两组结果进行统计学分析。结果 2型糖尿病组与非糖尿病组在颅内动脉峰值流速(Vp)、均值流速(Vm)及搏动指数(PI)等血流动力学指标有显著统计学意义(P<0.05)。结论 TCD对2型糖尿病脑血管并发症有较高敏感性,可用于糖尿病并发脑血管病变的筛查及疗效观察,对早期预防糖尿病脑血管病变有重要意义。

Objective To compare type 2 diabetes with non-diabetic population of transcranial doppler ultrasonography ( TCD ) results, and explore the value of TCD in diabetic cerebrovascular disease, for the prevention and treatment of diabetic cerebrovascular complications as early as possible.Methods For clinical diagnosis of 30 cases of patients with type 2 diabetes and TCD detection of 32 cases of diabetic population, compare two sets of results were statistically analyzed.Results Type 2 diabetes mellitus and non-diabetic group in intracranial artery peak flow velocity ( Vp ) , mean velocity ( Vm ) and pulsation index ( PI ) hemodynamic indexes such as significant statistical significance (P<0.05).Conclusions TCD has higher sensitivity to the type 2 diabetes and cerebrovascular complications, can be used for the screening and effect of the treatment of diabetes complicated with cerebral lesions, has important significance for early prevention of diabetes and cerebrovascular disease.