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目的应用彩超对下肢动脉粥样硬化检测与糖尿病的相关性进行研究。方法随机选择自2011年5月~2013年3月在本院就诊患者中初诊为糖尿病患者78例为观察组,同时选择同期在本院检查的健康者83例为对照组,分别对两组的双侧下肢动脉运用彩超进行检测,观察两组对象下肢股总动脉、腘动脉、胫前胫后动脉和足背动脉管腔内径、狭窄程度,斑块大小及血流动力学变化。结果两组对比显示,观察组下肢动脉粥样硬化的斑块和狭窄高于对照组,差异有统计学意义(P<0.05);观察组指标均高于对照组,差异有统计学意义(P<0.05)。结论糖尿病患者常伴有的下肢瘙痒、溃疡等以及下肢动脉粥样硬化而导致的缺血性坏疽的发生率高。彩超能早期检测下肢血管的粥样硬化改变,并与糖尿病外周血管病变二者之间的相关性进行对比分析研究,对糖尿病综合治疗具有一定的应用价值。
Objective To study the correlation between detection of atherosclerosis and diabetes by color Doppler ultrasound. Methods From May 2011 to March 2013, 78 cases of newly diagnosed diabetic patients in our hospital were randomly selected as the observation group. Meanwhile, 83 healthy subjects who were checked in our hospital during the same period were selected as the control group, The bilateral lower extremity arteries were detected by color Doppler ultrasound. The lumen diameter, stenosis, plaque size and hemodynamics of lower extremity common femoral artery, popliteal artery, anterior tibial artery and dorsalis pedis artery were observed. Results The comparison between the two groups showed that the atherosclerotic plaque and stenosis of the lower extremities in the observation group were higher than those in the control group (P <0.05), and the indexes in the observation group were higher than those in the control group (P <0.05). Conclusions The incidence of ischemic gangrene caused by atherosclerosis of the lower extremities such as pruritus and ulcers in patients with diabetes mellitus is often high. Choi ultrasound early detection of lower extremity vascular atherosclerosis changes, and peripheral vascular disease with diabetes, the correlation between the two comparative study of the comprehensive treatment of diabetes has a certain value.