摘要
目的 探讨糖尿病患者下肢动脉硬化的超声特征。方法 收集2019年1月至2021年11月于宁国市人民医院接受下肢动脉检查的96例患者的临床资料,按照是否合并糖尿病将患者分为糖尿病组(n=45)和对照组(n=51)。比较两组患者的临床特征以及下肢动脉硬化的发生率、内膜形态、存在斑块情况、斑块数量、狭窄程度。比较两组患者的下肢动脉功能指标,包括各动脉(股动脉、腘动脉、胫后动脉、足背动脉)的血流内径、血流速度、内膜中层厚度、阻力指数。结果 糖尿病组患者合并高血压的比例、体重指数、收缩压、血糖、总胆固醇水平、甘油三酯水平均高于对照组患者,差异均有统计学意义(P﹤0.05)。超声检查结果显示,糖尿病组下肢动脉硬化的发生率为22.2%(10/45),高于对照组患者的5.9%(3/51),差异有统计学意义(P﹤0.05)。两组患者的内膜形态、存在斑块情况、斑块数量、狭窄程度比较,差异均有统计学意义(P﹤0.05)。超声检查结果显示,糖尿病组患者各动脉的血流内径均明显低于对照组患者,血流速度、内膜中层厚度、阻力指数均明显高于对照组患者,差异均有统计学意义(P﹤0.01)。结论 超声检查可对糖尿病患者下肢动脉的形态学进行直观、准确的观察,对血管功能进行详细评估,简便易行,值得在糖尿病患者中推广,从而及时发现早期病变,并给予强化治疗。
Objective To investigate the ultrasonic features of lower extremity arteriosclerosis in diabetes patients.Method The clinical data of 96 patients who underwent lower extremity arterial examination at Ningguo People's Hospital from January 2019 to November 2021 were collected.Patients were divided into diabetic group(n=45)and control group(n=51)according to whether they combined diabetes or not.The clinical characteristics,the incidence rate of lower extremity arteriosclerosis,intima morphology,plaque presence,plaque quantity,and stenosis degree were compared between the two groups.The arterial function indicators of the lower extremity,including the inner diameter of blood flow,blood flow velocity,intima-media thickness,and resistance index of each artery(femoral artery,popliteal artery,posterior tibial artery,and dorsalis pedis artery)of the two groups were also compared.Result The proportion of hypertension,body mass index,systolic blood pressure,blood glucose,total cholesterol level,and triglyceride level in the diabetes group were higher than those in the control group,and the differences were statistically significant(P<0.05).The results of ultrasonography showed that the incidence rate of lower extremity arteriosclerosis in the diabetes group was 22.2%(10/45),which was higher than 5.9%(3/51)in the control group,and the difference was statistically significant(P<0.05).There were statistically significant differences in the intima morphology,plaque presence,plaque quantity,and stenosis degree between the two groups(P<0.05).Ultrasound examination results showed that the blood flow inner diameter of each artery were significantly lower than that in the control group,blood flow velocity,intima-media thickness,and resistance index of each artery in the diabetic group were significantly higher than those in the control group,and the differences were statistically significant(P<0.01).Conclusion Ultrasound examination could directly and accurately observe the morphology of artery of the lower extremity in diabetic patients,and carry out a detailed evaluation of vascular function,which is simple and easy.This method is worthy of promotion and popularization in diabetic patients,to detect early lesions in time and give intensive treatment.
作者
潘吉祥
王成昊
黄超
朱佳
高谞杰
Pan Jixiang;Wang Chenghao;Huang Chao;Zhu Jia;Gao Xujie(Department of Ultrasound,Ningguo People's Hospital,Ningguo 242300,Anhui,China;Department of Endocrine,Ningguo People's Hospital,Ningguo 242300,Anhui,China;Department of General Surgery,Ningguo People's Hospital,Ningguo 242300,Anhui,China)
出处
《血管与腔内血管外科杂志》
2023年第4期501-504,512,共5页
Journal of Vascular and Endovascular Surgery
关键词
糖尿病
下肢动脉硬化
超声
内膜中层厚度
diabetes mellitus
lower extremity arteriosclerosis
ultrasound
intima-media thickness
