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目的 :应用彩色超声检测 1 2 8例 2型糖尿病病人颈动脉变化 ,并测定血细胞比容水平 ,分析颈动脉病变与血细胞比容水平等相关因素的关系。方法 :2型糖尿病无颈动脉病变组 62例 ,2型糖尿病合并颈动脉病变组 66例 ,正常对照组 60例。用微量毛细血管比容法检测其血细胞比容水平。结果 :发现糖尿病颈动脉病变患者血细胞比容、血压、血脂、血糖明显高于无病变组和正常对照组 ( P<0 .0 5或 P<0 .0 1 )。结论 :2型糖尿病颈动脉病变的发生与血细胞比容、血压、脂代谢紊乱有关 ;血细胞比容水平测定可作为糖尿病大血管并发症危险因素的又一独立预测因子
OBJECTIVE: To detect the changes of carotid arteries in 128 patients with type 2 diabetes mellitus by color sonography. The levels of hematocrit were measured. The relationship between carotid artery disease and hematocrit levels was analyzed. Methods: 62 cases of type 2 diabetes mellitus without carotid artery disease, 66 cases of type 2 diabetes mellitus complicated with carotid artery disease and 60 cases of normal control group. The hematocrit level was measured by capillary angiography. Results: Hematocrit, blood pressure, blood lipids and blood glucose in diabetic patients with carotid artery disease were significantly higher than those in non-diseased and normal controls (P <0.05 or P <0.01). Conclusions: The incidence of carotid artery lesions in type 2 diabetes is related to the disorder of hematocrit, blood pressure and lipid metabolism. The determination of hematocrit level can be used as another independent predictor of risk factors for macrovascular complications in diabetes mellitus