糖尿病颈动脉粥样硬化狭窄与血糖的相关性

目的 探讨糖尿病患者颈动脉粥样硬化狭窄程度与血糖水平的相关性。方法 测量糖尿病患者和对照组的血糖水平和颈动脉狭窄程度，并进行相关性分析。结果 年龄与颈内动脉狭窄程度和阻力指数呈正相关；血糖浓度与斑块长度和厚度呈正相关；斑块厚度与颈总动脉内膜-中膜厚度也呈正相关。结论 血糖升高加重大动脉的血管狭窄，内膜-中膜厚度增厚，斑块长度延长和厚度增加。对依从性差的糖尿病患者，要早期预防、诊断和治疗颅脑和视网膜视神经供血不足的并发病变。

Relationship of Carotid Atherosclerosis and Glucose Level in Diabetes

Objectives To elucidate the correlation between blood glucose level and the severe of carotid atherosclerosis in diabetes. Methods The glucose concentrations as well as the diameter, intima-media thickness(IMT), the length and thickness of plaque,and the hemodynamics parameters of carotid artery were measured in both diabetes and control group. The correlation was analyzed by SPSS software.Results The degrees of carotid atherosclerotic stenosis and the resistance index were positively correlated with age. The thickness of plaque also was positively correlated with both blood glucose level and IMT. Conclusion The high level of blood glucose caused increases IMT and plaque in size, which will result in ocular and cerebral complications.