彩色多普勒超声评价2型糖尿病患者治疗前后颈动脉血管改变

目的:采用彩色多普勒超声评价分析2型糖尿病患者常规治疗后颈动脉血管变化,探讨其临床意义.方法:应用彩色多普勒超声对80例2型糖尿病患者治疗前后进行颈动脉常规检查,自身对照.通过观察其颈动脉管壁、管腔、内-中膜厚度(Intima-media thickness,IMT)及斑块大小、血流情况,对患者治疗前后颈动脉情况进行分析.结果:80例2型糖尿病患者治疗后颈动脉血管动脉粥样硬化斑块数目、颈动脉内径、IMT及阻力指数较治疗前减少或降低.结论:2型糖尿病患者经正规治疗及饮食控制有助于改善大血管病变,对于开展糖尿病颈动脉粥样硬化的预防和制定干预手段,有效抑制糖尿病大血管疾病的发生发展有着广阔的应用前景.

Color doppler ultrasound in evaluation of carotid artery before and after treatment of diabetes cases

Objective: To explore the clinical value of color Doppler ultrasound in evaluation of carotid artery before and after treatment of diabetes cases.Methods:A total of 80 cases of Type 2 Diabetes were examined with color Doppler ultrasound before and after treatment in Carotidor. Their carotid artery wall,lumen,intima-media thickness and plaque size,and flow conditions were analyzed respectively, ResuLts: In 80 cases of type 2 diabetes detection rates of carotid artery atherosclerotic plaque after treatment were lower than those before treatment,and the carotid artery diameter,Intima-media thickness and resistance index were reduced too. Conclusion:Using color Doppler ultrasound in carotid artery,can be directly observe large vascular wall and luminal lesions,and has a important clinical value in the prevention of diabetic carotid atherosclerosis and formulation the means of intervention,and it has broad application prospects in suppression of diabetic macrovascular disease development.