摘要
目的探讨糖尿病合并高血压患者动脉粥样硬化的声像图特点及相关性。方法糖尿病(DM)患者33例,高血压(EH)患者38例、DM合并EH患者35例及对照组35例,行颈部动脉超声检查,分别测量颈动脉内-中膜厚度(IMT)、斑块大小及各项血流动力学参数。结果①DM组、EH组及DM合并EH组的IMT、BIMT、Crouse积分及斑块检出率均高于正常对照组,其中DM合并EH组的最高,DM组和EH组间差异无统计学意义。②与对照组比较,DM组、EH组和DM合并EH组的收缩期峰值流速(PSV)和舒张末期流速(EDV)均降低,搏动指数(PI)和阻力指数(RI)均增高;DM合并EH组的PSV和EDV在四组中最低,而PI和RI最高。③血糖水平与颈动脉的IMT、Crouse积分及PI、RI呈正相关,病程与颈动脉的IMT、Crouse积分呈正相关。结论糖尿病患者的血糖和病程与动脉粥样硬化呈正相关,糖尿病和高血压同时存在时可加速动脉粥样硬化的进展。
Objective To evaluate the sonogrnphic characteristics of diabetes patients （DM） combined with atherosclerosis and their relationships. Methods A total of 106 cases included 33 diabetes patients （DM）, 38 essential hypertention （EH）, 35 DM combined with EH and 30 control subjects underwent Doppler Ultrasonography. Intima- media thickness （1MT）, plaque and hemodynamic indices were respectively measured in common carotid artery and its bifurcation. Results （1）The IMT, bifurcate intimamedia thickness （ BIMT）, the prevalence of plaque were higher in DM and EH groups than those in the control group, and DM combined with EH is the highest in three groups. （2）Compared with the control group, The PSV and EDV were lower in others three sroups, and the pulsatility index （PI） and resistance index （RI） were higher in three groups. （4）There are positive relations between the blood sugar level and IMT, Crouse score, PI and RI, and positive correlation between duration of illness and IMT and Crouse score. Conehtsion The blood sugar and duration of the DM patients shows a positive correlation with atherosclerosis, and DM combined with EH will accelerate its process.
出处
《临床超声医学杂志》
2006年第12期733-735,共3页
Journal of Clinical Ultrasound in Medicine
关键词
糖尿病
高血压
颈动脉
粥样硬化
超声检查
Diabetes
Hypertention
Carotid arteries
Atherosclerosis
Ultrasonography
