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目的:探讨2型糖尿病下肢血管病变彩色多普勒超声诊断价值及相关因素。方法:在惠州市中医医院2015年5月到2016年4月诊治的2型糖尿病下肢血管病变患者中抽取52例作为研究对象,同期抽选52例单纯2型糖尿病患者作为对照组,经彩色多普勒超声诊断其下肢血管壁内膜中层厚度、粥样斑块、血管闭塞等情况,对比其血压、空腹血糖、三酰甘油、总胆固醇、糖化血红蛋白水平,分析2型糖尿病下肢血管病变的相关影响因素。结果:观察组患者的粥样斑块形成率、血管腔狭窄发生率和动脉内膜中层厚度异常率均明显高于对照组,差异具有统计学意义(P<0.05);观察组患者的收缩压、空腹血糖、三酰甘油、总胆固醇、糖化血红蛋白水平均明显高于对照组,组间比较,差异具有统计学意义(P<0.05);结论:彩色多普勒超声应用于2型糖尿病下肢血管病变诊断中的临床价值较高,其中以血糖、血脂异常为主要影响因素,在2型糖尿病下肢血管病变治疗中应以降血脂、降血糖为治疗原则。
Objective: To investigate the diagnostic value and related factors of color Doppler ultrasonography of lower extremity vascular lesions in type 2 diabetic patients. Methods: Fifty-two patients with type 2 diabetes mellitus and lower extremity vascular disease diagnosed and treated in Huizhou Chinese Medicine Hospital from May 2015 to April 2016 were enrolled in this study. Fifty-two patients with simple type 2 diabetes mellitus were selected as the control group, Pulmonary ultrasound diagnosis of lower extremity vascular wall intima-media thickness, atherosclerosis plaque, vascular occlusion, etc., compared with its blood pressure, fasting blood glucose, triglyceride, total cholesterol, glycosylated hemoglobin levels, analysis of type 2 diabetes lower extremity vascular disease Influencing factors. Results: The incidence of atherosclerotic plaque, the incidence of stenosis and intima-media thickness in the observation group were significantly higher than those in the control group (P <0.05). The systolic pressure , Fasting blood glucose, triglyceride, total cholesterol, glycosylated hemoglobin were significantly higher than the control group, the difference was statistically significant (P <0.05); Conclusion: Color Doppler ultrasound used in type 2 diabetes lower extremity blood vessels The clinical value of the diagnosis of lesions higher, of which blood glucose, dyslipidemia as the main influencing factors in the treatment of type 2 diabetes lower extremity vascular lesions should be lipid-lowering, hypoglycemic treatment principle.