糖尿病患者下肢动脉血管病变的超声诊断研究

Study on the Ultrasonic Diagnosis of Lower Extremity Arterial Vascular Disease in Diabetic Patients

目的研究糖尿病患者下肢动脉血管病变应用超声诊断的价值。方法择取2013年11月—2015年10月间该院接收的住院患者,共计97例。按照97例患者的患病类型,对其进行分组,即:观察组,糖尿病者,共计48例;对照组,非糖尿病患者,共计49例。选取彩色多普勒超声诊断仪,分别对两组患者实施临床检测。全面分析并比较两组的检测结果。结果观察组下肢动脉血管病变率高达72.92%,对照组仅为16.33%。观察组的病变率,明显高于对照组。两组对比,差异具有统计学意义(P<0.05)。于观察组病变患者中,能见到下肢腘动脉与中小型动脉血管这两类病变,即血流量显著减少;血管内壁变粗糙;血液暗沉;管内径明显变小。两组对比,差异具有统计学意义(P<0.05)。结论人体在出现糖尿病之后,更容易诱发下肢动脉血管病变。此时,选取超声诊断法,对患者实施早期的临床检测,可更为全面的掌握其下肢动脉血管病变的实际情况。如此一来,也可让患者接受早期的对症治疗,以提高其病情的控制效果。因此,超声诊断法在糖尿病中有着非常高的应用价值。

Objective To study the value of ultrasonic diagnosis of lower extremity arterial vascular disease in diabetic patients. Methods A total of 97 cases admitted in our hospital in recent two years were selected and divided into the observation group（48 cases with diabetes） and the control group（49 cases without diabetes） in accordance with the type of disease.Color Doppler ultrasonic diagnostic apparatus was used for clinical detection in both groups. And the results of detection of the two groups were analyzed comprehensively. Results The rate of lower extremity arterial vascular disease was much higher in the observation group than that in the control group（72.92% vs 16.33%） with statistically significant difference（P〈0.05）. Popliteal artery and small artery disease were found in the observation group, namely, the blood flow was significantly reduced; the inner wall of blood vessels became coarse; blood became dark; the diameter of blood vessels decreased significantly, the difference between the two groups was statistically significant（P〈0.05）. Conclusion Lower extremity arterial vascular disease is more prone to occur in diabetic patients. As the clinical detection method, ultrasonic diagnosis is of great application value in diabetes, which can early and comprehensively identify the actual status of the lower extremity arterial vascular disease, so the patients can be treated early and symptomatically, the disease can be controlled more strongly.