糖尿病高血压患者颈动脉中内膜厚度的分析

目的探讨颈动脉中内膜的厚度对高血压和高血压合并糖尿病患者动脉粥样硬化的预后价值。方法选择2014年11月至2015年6月体检人群中高血压患者95例；高血压合并糖尿病患者34例，健康人群33例。以高血压、高血压合并糖尿病患者为观察组，健康人群为对照组。记录所有人群的性别、年龄、体重指数、既往史等，并进行颈动脉彩色多普勒检查，结合血脂检查，比较分析各组颈部动脉的情况。结果观察组患者颈总动脉中内膜厚度及分叉处中内膜厚度；斑块发生率均高于对照组（P〈O．05）。结论颈动脉中内膜厚度对动脉粥样硬化有较好的预测价值。

Objective To investigate the value of color Doppler ultrasound in detecting early atheroselerosis （ carotid MT ） and the hemodynamic changes of carotid artery in hypertension Patients and diabetes-hypertension patients. Methods A total of 162 subjects taken carotid artery color doppler ultrasound. The general data, blood lipid were recorded and compared between three groups. Results Hypertension group and hypertension - diabetes patients with IMT, BIMT, the plaque occurrence rate were higher than those in the control group, with statistical significance （ P〈0.05 ） . Conclusion The IMT can be used as an important index for predicting the atherosclerosis.