彩超诊断高龄T2DM患者下肢血管病变的临床价值分析
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摘要
目的探究彩超对高龄2型糖尿病(T2DM)患者下肢血管病变的诊断价值。方法方便选取2015年2月—2018年2月在该院就诊的T2DM并下肢血管病变患者231例作为研究组,另选同期同龄在该院体检的健康人100名作为对照组,两组均对下肢血管进行彩超检查,比较两组的斑块发生率、血管狭窄或闭塞发生率、斑块发生部位、血管内径、峰值流速、血流量。结果研究组的斑块、狭窄、闭塞的发生率(62.77%,13.85%,9.52%)明显高于对照组(12.00%,3.00%,0.00%),差异有统计学意义(χ~2=72.146, 8.693, 10.202,P<0.05),研究组斑块多发生在胫前动脉、足背动脉(31.17%,χ~2=36.950)和胫后动脉(25.97%,χ~2=28.955),而对照组多发生在股动脉(7.00%,χ~2=7.743)(P<0.05);研究组血管内径明显小于对照组,血流速和血流量较对照组降低,以足背动脉最为明显(P<0.01),其次是腘动脉(P<0.05)。结论彩超可有效检查T2DM患者下肢血管病变的部位,及狭窄和闭塞情况,可以为T2DM患者下肢血管病变提供早期诊断、预防和诊治的临床价值。
Objective To investigate the diagnostic value of color Doppler ultrasonography in the diagnosis of lower extremity vascular disease in elderly patients with type 2 diabetes mellitus(T2DM). Methods A total of 231 patients with T2DM and lower extremity vascular disease who were treated in our hospital from February 2015 to February 2018 were conveniently enrolled as the study group. Another 100 healthy people who were in the same age in our hospital were selected as the control group. Color Doppler ultrasonography was performed on the lower extremity vessels, and the incidence of plaque,the incidence of stenosis or occlusion, the location of plaque, the diameter of the vessel, the peak flow velocity, and the blood flow were compared between the two groups. Results The incidence of plaque, stenosis, and occlusion in the study group(62.77%, 13.85%, 9.52%) was significantly higher than that in the control group(12.00%, 3.00%, 0.00%), the difference was statistically significant(χ~2=72.146, 8.693, 10.202,P<0.05). The plaques in the study group occurred in the anterior iliac artery, dorsal artery(31.17%, χ~2=36.950) and posterior tibial artery(25.97%, χ~2=28.955). The control group occurred in the femoral artery(7.00%, χ~2=7.743)(P<0.05). The diameter of the blood vessel in the study group was significantly smaller than that in the control group. The blood flow rate and blood flow were lower than those in the control group, and the dorsal artery was the most obvious(P<0.01), followed by the radial artery(P<0.05). Conclusion Color Doppler ultrasound can effectively detect the location of vascular lesions in the lower limbs of T2DM patients, as well as stenosis and occlusion. It can provide early diagnosis, prevention and diagnosis of T2DM patients with lower extremity vascular lesions.
Objective To investigate the diagnostic value of color Doppler ultrasonography in the diagnosis of lower extremity vascular disease in elderly patients with type 2 diabetes mellitus(T2DM). Methods A total of 231 patients with T2DM and lower extremity vascular disease who were treated in our hospital from February 2015 to February 2018 were conveniently enrolled as the study group. Another 100 healthy people who were in the same age in our hospital were selected as the control group. Color Doppler ultrasonography was performed on the lower extremity vessels, and the incidence of plaque,the incidence of stenosis or occlusion, the location of plaque, the diameter of the vessel, the peak flow velocity, and the blood flow were compared between the two groups. Results The incidence of plaque, stenosis, and occlusion in the study group(62.77%, 13.85%, 9.52%) was significantly higher than that in the control group(12.00%, 3.00%, 0.00%), the difference was statistically significant(χ~2=72.146, 8.693, 10.202,P<0.05). The plaques in the study group occurred in the anterior iliac artery, dorsal artery(31.17%, χ~2=36.950) and posterior tibial artery(25.97%, χ~2=28.955). The control group occurred in the femoral artery(7.00%, χ~2=7.743)(P<0.05). The diameter of the blood vessel in the study group was significantly smaller than that in the control group. The blood flow rate and blood flow were lower than those in the control group, and the dorsal artery was the most obvious(P<0.01), followed by the radial artery(P<0.05). Conclusion Color Doppler ultrasound can effectively detect the location of vascular lesions in the lower limbs of T2DM patients, as well as stenosis and occlusion. It can provide early diagnosis, prevention and diagnosis of T2DM patients with lower extremity vascular lesions.
引文
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[6]周璠娅.彩色多普勒超声在2型糖尿病下肢动脉粥样硬化血管病变中的诊断价值[J].现代中西医结合杂志, 2015,24(18):2027-2029.
[7]陈鹤鸣,杨福宝,胡琳,等.超声在2型糖尿病患者颈部及下肢动脉病变诊断中的应用[J].川北医学院学报, 2016,31(5):704-706.
[8]于冬妮,谷爱民,孙明晓,等.踝肱指数和彩色多普勒超声检查在2型糖尿病患者下肢动脉病变诊断中的价值[J].中国临床保健杂志, 2017, 20(5):494-497.
[2]孙建浩,来永飞,诸纪明.彩色多普勒超声在诊断老年2型糖尿病下肢血管病变中的应用[J].中华全科医学,2016,14(1):116-118.
[3]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中国糖尿病杂志, 2014, 30(8):893-942.
[4]廖涌.中国糖尿病的流行病学现状及展望[J].重庆医科大学学报, 2015,40(7):1042-1045.
[5]晏丕军,冯健,张志红,等. 2型糖尿病下肢血管病变患者血清总胆红素水平及与血小板参数的关系[J].中国老年学杂志, 2016,36(1):64-67.
[6]周璠娅.彩色多普勒超声在2型糖尿病下肢动脉粥样硬化血管病变中的诊断价值[J].现代中西医结合杂志, 2015,24(18):2027-2029.
[7]陈鹤鸣,杨福宝,胡琳,等.超声在2型糖尿病患者颈部及下肢动脉病变诊断中的应用[J].川北医学院学报, 2016,31(5):704-706.
[8]于冬妮,谷爱民,孙明晓,等.踝肱指数和彩色多普勒超声检查在2型糖尿病患者下肢动脉病变诊断中的价值[J].中国临床保健杂志, 2017, 20(5):494-497.