首页|早发型2型糖尿病患者子女颈动脉全息血管硬度及影响因素分析

早发型2型糖尿病患者子女颈动脉全息血管硬度及影响因素分析

Analysis of Carotid Artery Elasticity and Influencing Factors in the Offspring of Early-Onset Type 2 Diabetes Mellitus by RF-Data Based Quantitative Analysis on Vessel Stiffness

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目的 评估早发型2型糖尿病患者子女颈动脉弹性功能,并分析影响其弹性的因素.资料与方法 前瞻性分析2020年10月—2021年8月河南省人民医院2型糖尿病患者子女63例,根据其父母糖尿病发病年龄(＜40岁为早发型,＞40岁为晚发型)分为父母早发糖尿病子女组(早发组,32例)和父母晚发糖尿病子女组(晚发组,31例).同期选择32例年龄、性别及体重指数相匹配的健康志愿者作为对照组.应用全息血管内-中膜厚度测量和全息血管硬度分析技术测量受试者颈总动脉内-中膜厚度、血管壁位移、血管收缩期管径、硬度指数和脉搏波传导速度,比较上述参数的组间差异.结果 早发组颈动脉内-中膜厚度、脉搏波传导速度、硬度指数高于晚发组及对照组(t=0.054～1.228,P均＜0.05),血管壁位移低于晚发组及对照组(t=0.048、0.109,P＜0.05).结论 2型糖尿病患者子女颈动脉僵硬度明显高于正常对照组,且早发组的颈动脉弹性下降较晚发组更明显.
Purpose To evaluate the carotid artery elasticity and the influencing factors in the offspring of early-onset type 2 diabetes mellitus by RF-data based quantitative analysis on vessel stiffness.Materials and Methods We continuously encrolled 63 offspring of type 2 diabetes mellitus,depending on the parental diagnostic age of diabetes they were divided into two groups:32 cases of early-onset offspring group,31 cases of late-onset offspring group.32 healthy volunteers who were matched for age,gender and body mass index,were selected as controls.Real-time intima-media thickness and RF-data based quantitative analysis on vessel stiffness were employed to evaluate common carotid intima-media thickness,displacement,diameter,hardness coefficient and pulse wave velocity.The differences among the groups were compared.Results The intima-media thickness,pulse wave velocity and hardness coefficient in early-onset offspring group were higher than late-onset offspring group(t=0.054-1.228,P＜0.05),and displacement was lower than late-onset offspring group(t=0.048,0.109,both P＜0.05).Conclusion Carotid artery stiffness in the offspring of diabetes mellitus patients is significantly higher than the control group.And the carotid elasticity of early-onset offspring group decreased more obviously than late-onset group.

Diabetes mellitus,type 2UltrasonographyCarotid artery elasticityCarotid intima-media thicknessRF-data based quantitative analysis on vessel stiffnessEarly-onsetOffspring

陈纪昀、郭艳艳、袁建军、张喜君、吴铭、朱好辉

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河南省人民医院超声科,河南郑州 450003

糖尿病,2型 超声检查 颈动脉弹性 颈动脉内膜中层厚度 全息血管硬度分析技术 早发型 子女

河南省医学科技攻关计划项目河南省医学科技攻关计划项目

SB201901093LHGJ20200057

2024

10.3969/j.issn.1005-5185.2024.09.006

中国医学影像学杂志
中国医学影像技术研究会

中国医学影像学杂志

CSTPCD北大核心
影响因子：1.37
ISSN：1005-5185
年,卷(期)：2024.32(9)
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