糖尿病脑血管病变的诊断技术与研究进展
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  • 英文篇名:Advances and Diagnostic Techniques of Diabetic Cerebrovascular Disease
  • 作者:聂嘉敏 ; 邵举薇 ; 何茜
  • 英文作者:NIE Jiamin;SHAO Juwei;HE Qian;Department of Radiology,the Fourth Hospital of Kunming Medical University;
  • 关键词:糖尿病 ; 脑血管病变 ; 早期诊断 ; 功能成像技术 ; 影像学检查
  • 英文关键词:Diabetes;;Cerebrovascular disease;;Early diagnosis;;Functional imaging technology;;Imaging examination
  • 中文刊名:YXZS
  • 英文刊名:Medical Recapitulate
  • 机构:昆明医科大学第四附属医院放射科;
  • 出版日期:2019-01-09 17:03
  • 出版单位:医学综述
  • 年:2019
  • 期:v.25
  • 基金:云南省科学技术厅-昆明医科大学应用基础研究联合专项(2018FE001[-267])
  • 语种:中文;
  • 页:YXZS201901027
  • 页数:5
  • CN:01
  • ISSN:11-3553/R
  • 分类号:145-149
摘要
糖尿病是以高血糖为主要特征的代谢性疾病,随着发病率逐年升高,已成为影响人类健康与生存的疾病之一。脑微血管并发症是患者致残及致死的主要原因之一,发病机制是在高血糖的基础上,信号转导通路受损、氧化应激、多元醇代谢异常、血脂异常、血液流变学异常等相关因素共同作用所致。临床上多表现为出血性和缺血性疾病,早期诊断对临床及时治疗,控制病情发展有重要作用,除糖化血红蛋白、磷酸肌酸等常用的生化指标及常规影像检查外,功能成像技术目前已成为病变检出的有力手段。
        Diabetes is a metabolic disease characterized by hyperglycemia. As the incidence increases year by year,it has become one of the diseases affecting human health and survival. Cerebral microvascular complication is one of the main causes of disability and death in patients. The pathogenesis is based on hyperglycemia,signal transduction pathway damage,oxidative stress,abnormal polyol metabolism,dyslipidemia,abnormal blood rheology and other related factors. Clinically,hemorrhagic and ischemic diseases are often manifested. Early diagnosis plays an important role in timely clinical treatment and control of disease development. In addition to commonly used biochemical indicators such as glycosylated hemoglobin and phosphocreatine and routine imaging examination,functional imaging technology has become a powerful means of detecting lesions.
引文
[1]陆再英,钟南山,谢毅,等.内科学[M]. 7版.北京:人民卫生出版社,2009:770-776.
    [2] Ogurtsova K,da Rocha Fernandes JD,Huang Y,et al. IDF diabetes atlas:Global estimates for the prevalence of diabetes for 2015and 2040[J]. Diabetes Res Clin Pract,2017,128:40-50.
    [3]周炯,王百辰.糖尿病性脑血管病流行病学与发病机理研究进展[J].浙江医学,2005,27(12):955-957.
    [4] Ergul A,Kelly-Cobbs A,Abdalla M,et al. Cerebrovascular complications of diabetes:Focus on stroke[J]. Endocr Metab Immune Disord Drug Targets,2012,12(2):148-158.
    [5]倪青.糖尿病脑血管病的中西医结合诊断与治疗[J].实用糖尿病杂志,2010,8(1):58-60.
    [6] Oktem F,Ozguner F,Yilmaz HR,et al. Melatonin reduces urinary excretion of N-acetyl-beta-D-glucosaminidase,albumin and renal oxidative markers in diabetic rats[J]. Clin Exp Pharmacol Physiol,2006,33(1/2):95-101.
    [7] Stitt AW,Curtis TM,Chen M,et al. The progress in understanding and treatment of diabetic retinopathy[J]. Prog Retin Eye Res,2016,51:156-186.
    [8] Selvin E,Marinopoulos S,Berkenblit G,et al. Meta-analysis:Glycosylated hemoglobin and cardiovascular disease in diabetes mellitus[J]. Ann Intern Med,2004,141(6):421-431.
    [9] Leiter LA,Berard L,Bowering CK,et al. Type 2 diabetes mellitus management in Canada:Is it improving?[J]. Can J Diabetes,2013,37(2):82-89.
    [10]胡田颖,郭伟. Hb A1c、CK、FBG联合检测对糖尿病微血管病变的诊断价值[J].湖南师范大学学报(医学版),2017,14(5):90-91.
    [11]张红,李军民,张树苗.联合测定糖化血红蛋白、纤维蛋白原及血小板参数诊断糖尿病微血管病变的临床价值[J].临床实验医学杂志,2011,10(23):1805.
    [12]杨欢,张珊珊,余芾成. DSA诊断缺血性脑血管病及评估介入治疗效果的价值[J].心血管康复医学杂志,2017,26(6):640-644.
    [13]陈海军,王永春.数字减影血管造影的ROADMAP功能在脑血管介入中的应用价值[J].实用医技杂志,2015,22(1):31-32.
    [14]齐颖,张人玲.糖尿病患者脑血流灌注及糖代谢的临床特点[J].中华糖尿病杂志,2005,13(4):272-273.
    [15]周林国,陈金波.经颅多普勒联合颈动脉超声与数字减影血管造影在缺血性脑血管疾病诊断中的对比分析[J].影像研究与医学应用,2018,2(1):24-25.
    [16]赵敏,段枫,雷霞,等.探讨经颅多普勒超声(TCD)对脑梗死早期患者的诊断价值[J].中国实用神经疾病杂志,2016,19(9):102-104.
    [17]李坤成.缺血性脑血管病的影像学诊断[J].中国现代神经疾病杂志,2008,8(6):499-502.
    [18]黄晶晶,赵云.糖尿病脑病的功能磁共振成像新技术与研究进展[J].医学综述,2017,23(14):2860-2864.
    [19] Patton N,Aslam T,Macgillivray T,et al. Retinal vascular image analysis as apotential screening tool for cerebrovascular disease:A rationale based on homology between cerebral and retinal microvasculatures[J]. J Anat,2005,206(4):319-348.
    [20] Kinno R,Yamamoto M,Yamazaki T,et al. Celebral microhemorrhage in Marchiafava-Bignami disease detected by susceptibilityweighted imaging[J]. Neurol Sci,2013,34(4):545-548.
    [21]孙家栋.磁共振波谱成像技术在中枢神经系统疾病诊断中的临床应用[J].中国医疗设备,2013,28(7):117-119.
    [22]张青,吴锦丹,姚志剑.糖尿病痛性神经病变的中枢神经系统影像学研究进展[J].医学研究生学报,2017,30(10):1116-1120.
    [23] Saini AK,Patel RJ,Sharma SS,et al. Edaravone attenuates hydroxyl radical stress and augmented angiotensinⅡresponse in diabetic rats[J]. Pharmacol Res,2006,54(1):6-10.
    [24]牛晓光,方保锋.表观弥散系数在高级别胶质瘤与急性期脑梗死鉴别诊断中的应用[J/CD].世界最新医学信息文摘(电子版),2017,17(2):72.
    [25] Reijmer YD,Brundel M,de Bresser J,et al. Microstructural white matter abnormalities and cognitive functioning in type 2 diabetes[J].Diabetes Care,2013,36(1):137-144.
    [26] Tournier JD,Mori S,Leemans A Diffusion tensor imaging and beyond[J]. Magn Reson Med,2011,65(6):1532-1556.
    [27]兰振.磁共振磁敏感加权成像在脑部疾病中的应用[J].实用医技杂志,2016,23(6):613-614.
    [28] Chen YC,Jiao Y,Cui Y,et al. Aberrant brain functional connectivity related to insulin resistance in type 2 diabetes:A resting state f MRI study[J]. Diabetes Care,2014,37(6):1689-1696.
    [29]刘建辉,董丽梅,杜艳英.多体素1H-MRS对脑肿瘤、脑脓肿、脑梗死的鉴别诊断的临床思路构架[J].世界最新医学信息文摘,2015,15(25):13-14.
    [30] Ronald JA,Chen Y,Bernas L,et al. Clinical field-strength MRI of amyloid plaques induced by low-level cholesterol feeding in rabbits[J]. Brain,2009,132(Pt 5):1346-1354.
    [31] Yuan SY,Breslin JW,Perrin R,et al. Microvascular permeability in diabetes and insulin resistance[J]. Microcirculation,2007,14(4/5):363-373.
    [32]付功,李克. MR脑灌注成像原理与临床应用[J].中国医学计算机成像杂志,2013,19(2):180-183.
    [33] FerréJC,Bannier E,Raoult H,et al. Arterial spin labeling(ASL)perfusion:Techniques and clinical use[J]. Diagn Interv Imaging,2013,94(12):1211-1223.
    [34] Petcharunpaisan S,Ramalho J,Castillo M. Arterial spin labeling in neuroimaging[J]. World J Radiol,2010,2(10):384-398.
    [35] van Golen LW,Kuijer JP,Huisman MC,et al. Quantification of cerebral blood flow in healthy volunteers and type 1 diabetic patients:Comparison of MRI arterial spin labeling and[15O]H2O positron emission tomography(PET)[J]. J Magn Reson Imaging,2014,40(6):1300-1309.
    [36] Kakuda W,Lansberg MG,Thijs VN,et al. Optimal definition for PWI/DWI mismatch in acute ischemic stroke patients[J].J Cereb Blood Flow Metab,2008,28(5):887-891.
    [37]宋宏杰,王默力,杨小平,等. PWI和DWI对短暂性脑缺血发作的诊断价值[J].中国实用神经疾病杂志,2010,13(15):4-7.
    [38]刘桂锋,姚铭,陈琰. MRI血管及灌注成像对糖尿病患者脑血管病变的应用研究[J].磁共振成像,2013,4(5):321-324.
    [39]杜敏,杨玺.糖尿病性脑血管病的临床特点[J].中国社区医师(医学专业),2012,14(2):5.
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