彩色多普勒与糖尿病足辨证分型相关性分析

目的：探讨彩超分析与糖尿病足辨证分型之间关系,为中医临床提供治疗依据。方法：选取55例糖尿病患者,辨证分型气阴两虚型,血瘀阻络型,阳虚寒凝型,阴虚热盛型,阴阳两虚型,彩超检测糖尿病患者下肢动脉中-内膜层（IMT）、粥样斑块及狭窄程度,与正常人比较。结果：糖尿病足组IMT较对照组明显增厚（P〈0.05～0.01）;糖尿病足组下肢动脉粥样硬化斑块、狭窄段检出率明显高于对照组（P〈0.05）。糖尿病足分型彩超比较,气阴两虚型各下肢动脉IMT最厚,股总动脉、股浅动脉、腘动脉比较中,阳虚寒凝型、阴虚热盛型、阴阳两虚型尤其明显（P〈0.05～0.01）,在其他动脉比较中,以胫后动脉和胫前动脉比较明显,部分差异显著（P〈0.05）。结论：彩超与糖尿病足不同症型有一定的相关性,气阴两虚型最为明显,可清楚地显示IMT和斑块,可以判断狭窄程度。

Correlation analysis of color doppler and diabetic foot dialectical type

Objectives：Explore the relevance Analysis between color Doppler ultrasound and syndrome differentiation of TCM.Methods：55 cases diabetic patients were divided into syndrome of defieieney of both qi and yin,syndrome of sluggishness of blood cireulation,syndrome of yang deficiency and congealing,syndrome of extreme heat due to deficiency of yin,syndrome of deficiency of both yin sand yang.Color dolppler detected IMT、artheromatous plaque and stenosis in low extremity artery of diabetic patients,and compared with control groups.Results：Compared with control groups,lower limbs of diabetic patients groups were thickened obviously（P〈0.05～0.01）,artheromatous plaque and stenosis in lower limbs of diabetic patients groups higher than these of control groups（P〈0.05）,The comparation between color doppler ultrasound and syndrome differentiation of TCM,IMT of low extremity artery of syndrome of defieieney of both qi and yin was the thickest.syndrome of yang deficiency and congealing,syndrome of extreme heat due to deficiency of yin,syndrome of deficiency of both yin and yang were obvious among femoral artery,superfical femoral artery and popliteal artery（P〈0.05～0.01）,posterior tibial artery and the anterior tibial artery were obvious at other artery.Conelusions：The relevance between color Doppler ultrasound and syndrome differentiation of TCM in diabetic patients.And syndrome of defieieney of both qi and yin was obvious,IMT and artheromatous plaque can be showed and judge stenosis.