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无创动脉硬化检测及彩超技术联合应用对糖尿病患者早期动脉硬化的诊断价值

苏桂珠 曲振鹏

实用心电学杂志2017,Vol.26Issue(3):183-186,4.
实用心电学杂志2017,Vol.26Issue(3):183-186,4.DOI:10.13308/j.issn.2095-9354.2017.03.007

无创动脉硬化检测及彩超技术联合应用对糖尿病患者早期动脉硬化的诊断价值

Application of noninvasive arteriosclerosis detection method and color ultrasound in diagnosing early arteriosclerosis of diabetics

苏桂珠 1曲振鹏1

作者信息

  • 1. 365000 福建 三明,福建医科大学附属三明第一医院心电诊断科
  • 折叠

摘要

Abstract

Objective To explore the application of noninvasive arteriosclerosis detection method and color ultrasound in diagnosing early arteriosclerosis among patients with type 2 diabetes.Methods One hundred and twenty patients with type 2 diabetes(diabetes group) and homochronous 100 healthy controls(control group) were enrolled in our study.Angeial color Doppler ultrasound technique was utilized in detecting the intima-media thickness(IMT) of the common carotid arteries while arteriosclerosis detector was applied in measuring the brachial-ankle pulse wave velocity(baPWV) and toe-brachial index(TBI).Analysis and evaluation of risk factors was made based on the measured data.Results The differences of measured baPWV, TBI and IMT were all statistically significant between the two groups(P<0.05).Multiple linear regression analysis showed that low(high)-density lipoprotein cholesterol, uric acid and systolic blood pressure were risk factors for abnormal IMT;age, systolic blood pressure and blood sugar were risk factors for abnormal baPWV;age, systolic blood pressure and blood sugar were independent risk factors for abnormal TBI while high-density lipoprotein cholesterol was a protective factor for TBI.Conclusion The severity of early peripheral arteriosclerosis in patients with type 2 diabetes can be predicted with a combined application of noninvasive arteriosclerosis detection indexes and IMT measured by angeial ultrasound technique.It is fit for clinical promotion and application for its convenience, noninvasiveness and good repeatability.

关键词

糖尿病/趾臂指数/颈总动脉内膜中层厚度/超声检查

Key words

diabetes/toe-brachial index/intima-media thickness of the common carotid arteries/ultrasonic examination

分类

医药卫生

引用本文复制引用

苏桂珠,曲振鹏..无创动脉硬化检测及彩超技术联合应用对糖尿病患者早期动脉硬化的诊断价值[J].实用心电学杂志,2017,26(3):183-186,4.

基金项目

福建省三明市科技计划资助项目[2013-S-3(4)] (4)

实用心电学杂志

2095-9354

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