超声在2型糖尿病患者颈动脉及下肢动脉病变诊断中的应用

Application of ultrasonography in the diagnosis of carotid and lower extremity arterial disease in patients with type 2 diabetes mellitus

目的:分析超声对2型糖尿病患者的颈动脉及下肢动脉病变检查的效果。方法:收治2型糖尿病患者120例为观察组,另选120例非2型糖尿病患者为对照组。采用超声的方法对两组部分患者分别进行颈动脉及下肢动脉检查。比较两组患者的颈动脉和下肢动脉的血管内粥样硬化的斑块、血管壁内-中膜厚度、管腔状态和血流动力学情况。结果:观察组中血管壁内-中膜厚度高于对照组,粥样硬化的斑块明显多于对照组,管腔较对照组狭窄,两组差异有统计学意义(P<0.05)。结论:超声可早期诊断出2型糖尿病患者的颈动脉与下肢动脉的病变,为疾病的早期发现与治疗提供良好的临床依据。

Objective:To analyze the effect of ultrasonography in the diagnosis of carotid and lower extremity arterial disease inpatients with type 2 diabetes mellitus.Methods:120 patients with type 2 diabetes mellitus were selected as the observation group;another 120 patients with non-type 2 diabetes were selected as the control group.The carotid and lower extremity arteries wereexamined by ultrasound for part of the patients in the two groups.We compared the carotid and lower extremity arterial vascularatherosclerotic plaque,wall intima-media thickness,bureaucratic and hemodynamic status of patients in the two groups.Results:The thickness of the intima-media vessel wall in the observation group was higher than that of the control group;atheroscleroticplaques were significantly more than the control group;lumen was more narrow than the control group;there were significantdifferences between groups,P<0.05.Conclusion:Carotid and lower extremity arterial disease in patients with type 2 diabetes canbe early diagnosed by ultrasound,which provide a good clinical basis for early detection and treatment of disease.