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目的:应用彩色多普勒超声技术对高原地区的老年糖尿病患者颈动脉粥样硬化斑块进行检查,探究其临床价值。方法:选取长期居住于高原地区,2012年1月—2016年12月在我院内糖尿病科确诊为2型糖尿病的老年患者68例,和体检时血糖正常的社区居民48例,对每位患者进行颈部血管彩色多普勒超声检查。结果:168例高原地区老年糖尿病患者中发现有颈部动脉病变的病例52例,发生率为76.5%,48例血糖正常的社区居民中发现有颈部动脉病变者14例,发病率为29.2%,P<0.05表明具有统计学意义;2颈动脉硬化并斑块形成的66例病例中,其中双侧颈动脉病变者有45例,占病变者的68.2%;单侧病变者21例,占病变者的31.8%,病变部位在颈总动脉分叉处有46例,占69.7%,病变部位在颈总动脉有9例,占13.6%,病变部位在颈内动脉有11例,占16.7%。结论:高原地区老年糖尿病患者颈动脉粥样硬化斑块的发生率明显高于血糖正常的老年人,对高原地区患有糖尿病的老年人进行早期颈动脉的超声检查,对临床患有糖尿病的患者进行重点早期干预,避免大血管并发症的发生,具有较高的临床价值。
Objective: To evaluate the clinical value of carotid atherosclerotic plaque in elderly patients with diabetes mellitus by color Doppler sonography. Methods: A total of 68 elderly patients with type 2 diabetes who were diagnosed with type 2 diabetes mellitus in our hospital from January 2012 to December 2016 and 48 community residents with normal blood glucose during physical examination were enrolled in this study. Each patient was selected Color Doppler ultrasound of neck vessels. Results: Among the 168 cases of elderly diabetic patients in the plateau, 52 cases were found with cervical artery disease, the incidence was 76.5%. Among the 48 cases with normal blood glucose, 14 cases were found with cervical artery disease, the incidence was 29.2% , P <0.05 showed statistically significant; 2 carotid atherosclerosis and plaque formation in 66 cases, of which 45 cases of bilateral carotid lesions, accounting for 68.2% of lesions; unilateral lesions in 21 cases, accounting for The lesions of 31.8%, lesions in the common carotid bifurcation of 46 cases, accounting for 69.7%, lesions in the common carotid artery in 9 cases, accounting for 13.6%, lesions in the internal carotid artery in 11 cases, accounting for 16.7% . Conclusion: The prevalence of carotid atherosclerosis in elderly diabetic patients in the plateau region is significantly higher than that in the elderly patients with normal glucose level. Early carotid ultrasonography was performed in the elderly with diabetes mellitus in the plateau region. To focus on early intervention to avoid the occurrence of macrovascular complications, with high clinical value.