摘要
用彩色多普勒检测５０例老年糖尿病患者四肢的五对血管：并与４３例健康老年人对照，结果：糖尿病组血管壁反射增强、增厚、斑块形成、管腔狭窄及血流速度异常检出率为７２％，而对照组只有１６％；糖尿病组足背动脉内径及血流速度分别为：０．２６±０．０３ｃｍ及３５±１４ｃｍ／ｓ，对照组分别为０．２４±０．０３ｃｍ及３０±８ｃｍ／ｓ，差异有非常显著性（Ｐ＜０．００１）。糖尿病并发血管病变多见于下肢，对上肢动脉的损害也较严重，上下肢血管病变比较差异无显著性。糖尿病血管病变呈双侧多节段性改变，而对照组呈单发性。Ｐ＜０．０１，ΔＰ＜０．００１，余Ｐ＞０．
Abstract With color Doppler technique,five pairs of the arteries in the four extremities of 50 cases of elderly diabetes were examined and 43 healthy old subjects served as controls.The results showed that 72% of the diabetic patients had strengthened and thickened reflection of ultrasound waves,formation of atheromatous plaques, stenotic lumen and abnormal blood flow velocity either singly or simultaneously, but only 16% of the controls had these changes.The intraluminal diameter and flow velocity of the dorsalis pedis arteries in the diabetic patients were respectively 0.26±0.03cm and 35±14cm/s,while they were 0.24±0.03cm and 30±8cm/s respectively in the controls.There was a marked statistical respect to be extent of the arterial lesion,there was no statistical difference between the two groups (P<0.001).With respect to the extent of the arterial lesion,there was no statstical difference between the upper and lower extremities.However,the arterial lesions were usually present on two sides of the extremities and involved multiple segments in the diabetecs,but were present in one artery and involved single segment in the controls.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
1994年第2期99-101,共3页
Chinese Journal of Geriatrics
