首页|超声评估2型糖尿病非增殖期黄斑水肿患者眼球后动脉血流动力学及视神经直径的临床意义

超声评估2型糖尿病非增殖期黄斑水肿患者眼球后动脉血流动力学及视神经直径的临床意义

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目的:探讨超声评估2型糖尿病(T2DM)非增殖期黄斑水肿(ME)患者眼球后动脉血流动力学与视神经直径的效用,旨在为临床提供可靠参考.方法:选取2020年9月—2021年9月赣州市会昌县人民医院收治的74例行光学相干断层扫描检查(OCT)的T2DM患者作研究对象,依据OCT结果将患者分为两组,其中36例非增殖期视网膜病变患者为对照组,38例非增殖期ME患者为观察组.比较两组患者经超声测定的视网膜中央动脉(CRA)、眼动脉(OA)、睫状后短动脉(PCA)的血流动力学参数[最大收缩期血流速度(PSV)、舒张末期血流速度(EDV)、阻力指数(RI)]以及球后视神经直径.结果:观察组CRA的PSV、EDV、RI均低于对照组,差异有统计学意义(t=14.450、10.584、2.124,P<0.05);观察组PCA的PSV、EDV均低于对照组,差异有统计学意义(t=3.937、6.929,P<0.05);对照组眼球后视神经直径为(2.71±0.36)mm,观察组眼球后视神经直径为(2.65±0.31)mm.两组患者眼球后视神经直径相比,差异无统计学意义(t=0.770,P>0.05).结论:超声可有效监测T2DM非增殖期ME患者的眼球后动脉血流动力学、视神经直径,可为临床早期治疗提供可靠依据,临床应用价值较高.
Clinical Significance of Retroocular Artery Hemodynamics and Optic Nerve Diameter in Patients with Type 2 Diabetes Mellitus with Nonproliferative Macular Edema by Ultrasonography
Objective:To investigate the utility of ultrasonography in evaluating the hemodynamics of the retroocular artery and optic nerve diameter in nonproliferative macular edema(ME)patients with type 2 diabetes mellitus(T2DM).Methods:The optical coherence tomography(OCT)results of 74 T2DM patients admitted to the hospital from September 2020 to September 2021 were retrospectively analyzed,and the patients were divided into 2 groups according to the examination results.36 patients with T2DM in non-proliferative stage were divided into the control group,and the 38 nonproliferative ME patients with T2DM were divided into the observation group.The hemodynamic parameters[maximum systolic blood flow velocity(PSV),end-diastolic blood flow velocity(EDV),resistance index(RI)],and retrobulbar optic nerve diameter were compared.Results:The PSV,EDV and RI of CRA in the observation group were lower than those in the control group,with statistically significant difference(t=14.450,10.584,2.124;P<0.05).PSV and EDV of PCA in the observation group were lower than those in the control group,and there was statistical difference(t=3.937,6.929;P<0.05).The diameter of the posterior optic nerve was(2.71±0.36)mm in the control group and(2.65±0.31)mm in the observation group,with no statistical difference(t=0.770,P>0.05).Conclusion:Ultrasound can effectively monitor the retroocular artery hemodynamics and optic nerve diameter in non-proliferative ME patients with T2DM,which can provide a reliable basis for early clinical treatment and has high clinical application value.

Type 2 diabetesNon-proliferative macular edemaHemodynamics

何福娇、郭小婧

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赣州市会昌县人民医院,江西 赣州 342600

2型糖尿病 非增殖期黄斑水肿 血流动力学

赣州市科技计划项目

GZ2021ZSF754

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(7)
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