| 穆玉明,吴伟春,唐琪,韩伟.糖尿病及其合并高脂血症对颈部动脉粥样硬化影响的超声研究[J].中国医学影像技术,2005,21(3):419~421 |
| 糖尿病及其合并高脂血症对颈部动脉粥样硬化影响的超声研究 |
| Effect of diabetes and diabetes associated with hyperlipiodemia on atherosclerosis of carotid and vertebral arteries |
| 投稿时间：2004-11-08 修订日期：2004-12-16 |
| DOI： |
| 中文关键词: 糖尿病 高脂血症 颈动脉 动脉粥样硬化 超声检查 |
| 英文关键词:Diabetes Hyperlipiodemia Carotid artery Atherosclerosis Ultrasonography |
| 基金项目: |
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| 摘要点击次数: 1932 |
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| 中文摘要: |
| 目的 应用超声评价糖尿病及其合并高脂血症时对颈部动脉粥样硬化的影响。方法 对2型糖尿病(DM)33例，糖尿病合并高脂血症(DH)58例及对照组40例进行颈部动脉超声检查，分别测量颈动脉的内 中膜厚度(IMT)，计算斑块检出率及两侧颈部动脉的血流动力学指标。结果 DM和DH组的IMT均高于对照组，其中DH组最高。斑块检出率：DM和DH组分别为48.5%和50%高于对照组(25%)。DM和DH组的PSV/EDV和血流量降低，PI和RI增高。血糖和血脂分别与IMT、RI |
| 英文摘要: |
| Objective To investigate the effect of diabetes and diabetes associated with hyperlipiodemia on the atherosclerosis of carotid and vertebral arteries using color Doppler ultrasonography. Methods A total of 131 cases included 33 diabetes patients(DM)， 58 diabetes associated with hyperlipiodemia patients (DH) and 40 control subjects underwent color Doppler ultrasonography. Intima media thickness (IMT) in common carotid artery (CCA IMT) and its bifurcation (BIMT), plaque and hemodynamic indices were respectively measured in common carotid artery and its bifurcation, internal carotid artery and vertebral artery. Results The IMT was higher in DM and DH groups than that in the control group, with the highest in DH among the three groups. The incidences of carotid plaque in DM, DH and control group were 48.0%, 50.0% and 25%, respectively. Compared with the control group, the PSV/EDV and volume were lower, and the pulsatility index (PI) and resistance index (RI) were higher in DM and DH groups. There were positive relations between the level of the blood sugar and lipid in serum and Intima media thickness, PI and RI. Conclusion Diabetes associated with hyperlipiodemia would make atherosclerosis, and lead to a lower vascular stretch and a higher vascular resistance. |
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