T2DM下肢血管病变超声诊断价值及相关因素分析

Analysis of the factors of lower extremities artery disease in type 2 diabetes mellitus by Doppler ultrasound

目的多普勒彩超观察2型糖尿病患者下肢血管病变,了解其相关危险因素。方法选取宝坻区人民医院T2DM患者50例,病史为4个月~20年,多普勒彩超检查患者双下肢血管形态、血管内壁斑块及管径等情况,同时进行生化检查。结果 50例患者中,彩超检出阳性38例,检出率为76%,超声检出的患者年龄、血压、糖化血红蛋白、脑微量白蛋白、总胆固醇及甘油三酯均高于正常组。结论多普勒彩超可及早发现下肢血管病变且检出率高,值得临床推广。

Objective To study the morbidity and related risk factors of the lower extremities arterial disease in T2DM patients using Doppler ultrasound. Methods 50 cases of T2DM patients in our hospital were selected, history was 4 months-20 years, Doppler color Doppler ultrasound examination of patients with lower extremity vascular morphology, vascular wall plaque and diameter, and other conditions, and biochemical examination. Results 38 （76%） of total Patients with T2DM suffered from the lower extremity arterial intimal lesions, which is related to the course of disease, age, blood lipid disorders, the level of systolic blood pressure. Conclusion Lower extrimities artery disense could be earlier detected by Doppler ultrasound that was worthy to promote.