中国现代医学杂志Issue(2)：98-102,5.DOI:10.3969/j.issn.1005-8982.2016.02.023
M型超声评价2型糖尿病患者膈肌运动异常
Evaluation of diaphragmatic motion abnormalities in patients of type 2 diabetes mellitus by M-mode ultrasonography
邓丹 1张宇虹 1刘晖 1苏本利2
作者信息
- 1. 大连医科大学附属第二医院超声科，辽宁 大连 116027
- 2. 大连医科大学附属第二医院内分泌科，辽宁 大连 116027
- 折叠
摘要
Abstract
Objective To discuss the diagnostic value of M-mode ultrasonography in evaluating diaphrag-matic motion abnormalities in the patients of type 2 diabetes mellitus (T2DM). Methods Sixty-seven patients of T2DM were enrolled and divided into group A (the course > 10 years, 32 cases) and group B (the course≤ 10 years, 35 cases), and group C was normal control group (36 cases). M-mode ultrasonography was used to examine the diaphragmatic motion range of each group in quiet breathing, voluntary sniffing and deep breathing. The parameters of pulmonary function were obtained which included FEV1, FEV1 (% of predicted), FVC, FVC (% of predicted), FEV1/FVC (%) and VC. The correlations between the diaphragmatic motion range and the parameters of pulmonary function were analyzed. Results There were no significant differences in the diaphragmatic motion degree in quiet breathing among the groups A, B and C ( >0.05). The diaphragmatic motion of the group A was smaller than that of the group B which was in turn smaller than that of the group C ( <0.05) in volunntary sniffing and deep breathing. And so was it with group B and C ( <0.05). The FEV1 of the group A was smaller than that of the groups B and C ( <0.05). There was no significant differ-ence in the FEV1 between the groups B and C ( >0.05). There were no significant differences in the FEV1 (% of predicted), FVC, FVC (% of predicted), FEV1/FVC (%) or VC among the groups A, B and C ( >0.05). The diaphragmatic motion range in deep breathing was positively correlated with the FEV1, FVC and VC ( <0.05). Conclusions The diaphragmatic motion can be measured by M-mode ultrasonography directly, conveniently and noninvasively, which provides the objective diagnostic evidence for diaphragmatic motion abnormalities in the patients with T2DM.关键词
2型糖尿病/M型超声/膈肌运动Key words
type 2 diabetes mellitus/M-mode ultrasonography/diaphragmatic motion分类
医药卫生引用本文复制引用
邓丹,张宇虹,刘晖,苏本利..M型超声评价2型糖尿病患者膈肌运动异常[J].中国现代医学杂志,2016,(2):98-102,5.
