首页|彩色多普勒超声在糖尿病下肢血管病变检查中的应用研究

彩色多普勒超声在糖尿病下肢血管病变检查中的应用研究

Application of Color Doppler Ultrasound in the Examination of Diabetic Lower Extremity Vascular Disease

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目的 研究彩色多普勒超声在糖尿病下肢血管病变中的应用.方法 选取2021年9月—2022年9月龙岩人民医院收治的78例糖尿病下肢血管病变患者为研究对象,记为病变组,将同期收治的78例糖尿病未发生下肢血管病变的患者记为对照组,均实行彩色多普勒超声检查,对比两组彩超检查结果.结果 病变组中腘动脉血流峰速为(72.56±0.18)cm/s,低于对照组的(80.13±0.26)cm/s,差异有统计学意义(t=26.955,P<0.05).病变组的足背动脉、股动脉及胫后动脉的血流峰速均低于对照组,差异有统计学意义(P均<0.05).病变组的动脉踝肱指数、动脉管壁内径小于对照组,动脉壁内中膜厚度大于对照组,差异有统计学意义(P均<0.05).结论 彩色多普勒超声检查不仅能够明确糖尿病患者是否发生下肢血管病变情况,还能判断其严重程度,为临床治疗和疾病控制提供依据,利于发现早期病变,促进早期治疗,提升疾病控制效果,同时临床操作简便、安全,可实现重复检查.
Objective To study the application of color Doppler ultrasound in diabetic lower extremity vascular dis-ease.Methods A total of 78 diabetic patients with lower extremity vascular disease who were admitted to Longyan People's Hospital from September 2021 to September 2022 were selected as the lesion group,and 78 diabetic patients without lower extremity vascular disease treated in the hospital during the same period were selected as the control group.Color Doppler ultrasound was performed.The results of color ultrasound of lower extremity vascular lesions were compared between the two groups.Results The peak velocity of the middle popliteal artery blood flow in the le-sion group was(72.56±0.18)cm/s,which was lower than(80.13±0.26)cm/s in the control group,and the difference was statistically significant(t=26.955,P<0.05).The peak velocity of dorsal artery of foot,femoral artery,posterior tibial artery in the lesion group were lower than those in the control group,and the differences were statistically signifi-cant(all P<0.05).The arterial ankle-brachial index,inner diameter of arterial wall in the lesion group were lower than those in the control group,and its inner media thickness of arterial wall was higher than that in the control group,and the differences were statistically significant(all P<0.05).Conclusion Color Doppler ultrasound can not only determine whether diabetes patients have lower extremity vascular lesions,but also judge their severity,providing a basis for clinical treatment and disease control,helping to detect early lesions,promoting early treatment,and improving dis-ease control effect.Meanwhile,clinical operation is simple and safe,repeated examination can be realized.

Color Doppler ultrasoundDiabetes mellitusLower extremity vascular disease

林栋栋、林白燕、张楚楚

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龙岩人民医院超声科,福建龙岩 364000

彩色多普勒超声 糖尿病 下肢血管病变

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(6)
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