CAJ | 학술논문

目的在糖尿病患者出现症状前,利用超声监测糖尿病高危人群的胰腺尾部超声表现(厚径及其回声),探查胰腺尾部超声表现与早期糖尿病之间的相关性,为发现早期糖尿病增加有利的临床诊断依据,为临床对糖尿病高危人群进行生活方式干预提供了有力的依据,降低糖尿病的发病率及病死率.方法研究观察病例2696例(年龄在25岁-50岁间,男女比为1：2,均为肥胖患者,常规超声检查均有不同程度的脂肪肝声像),常规超声检查胰腺尾部的厚径及其回声表现；收集到2060例病例的空腹血糖值.结果对此2060例病例进行统计分析,发现其中胰腺尾部(厚径)增大或稍增大并回声增强或稍增强有526例病例,占总数2060例病例的25.53%.对胰腺尾部(厚径)增大或稍增大并回声增强或稍增强的526例病例进一步统计研究,得知有21例病例的血糖值>6.11mmol/L,占3.99%(21/526)；330例病例的血糖值5.50—6.10mmol/L,占62.74%(330/526).统计学分析：胰腺尾部厚径增大或稍增大并回声增强或稍增强与其空腹血糖值有统计学意义(P<0.05).结论本研究表明胰腺尾部厚径增大或稍增大并回声增强或稍增强与早期糖尿病两者之间有一定的相关性：均提示病例的空腹血糖值在正常值高值范围.
목적재당뇨병환자출현증상전,이용초성감측당뇨병고위인군적이선미부초성표현(후경급기회성),탐사이선미부초성표현여조기당뇨병지간적상관성,위발현조기당뇨병증가유리적림상진단의거,위림상대당뇨병고위인군진행생활방식간예제공료유력적의거,강저당뇨병적발병솔급병사솔.방법연구관찰병례2696례(년령재25세-50세간,남녀비위1：2,균위비반환자,상규초성검사균유불동정도적지방간성상),상규초성검사이선미부적후경급기회성표현；수집도2060례병례적공복혈당치.결과대차2060례병례진행통계분석,발현기중이선미부(후경)증대혹초증대병회성증강혹초증강유526례병례,점총수2060례병례적25.53%.대이선미부(후경)증대혹초증대병회성증강혹초증강적526례병례진일보통계연구,득지유21례병례적혈당치>6.11mmol/L,점3.99%(21/526)；330례병례적혈당치5.50—6.10mmol/L,점62.74%(330/526).통계학분석：이선미부후경증대혹초증대병회성증강혹초증강여기공복혈당치유통계학의의(P<0.05).결론본연구표명이선미부후경증대혹초증대병회성증강혹초증강여조기당뇨병량자지간유일정적상관성：균제시병례적공복혈당치재정상치고치범위.
Objective In patients with diabetes mellitus before symptoms appear, use of ultrasound to monitor the risk of diabetes in people at the tail of the pancreas ultrasound ( thick diameter and its echo ), exploration of pancreatic tail ultrasonic manifestations and early diabetic correlations between, for the discovery of early diabetes increases advantageous basis for clinical diagnosis, clinical on diabetes are at high risk for lifestyle intervention provided strong basis diabetes, reduce the incidence rate and mortality rate. Methods Study of 2696 cases with ( at the age of 25years old - 50 years old, male and female ratio of 1:2, all for obese patients, conventional ultrasonography in varying degrees of fatty liver ultrasonic ), routine sonographic examinations of the pancreas tail thickness to diameter and echo performance; collected2060 cases of fasting blood glucose values. Results In2060 cases were analyzed, found the tail of the pancreas ( thick diameter ) increases or slightly enlarged and enhanced echo or slightly enhanced in 526cases, accounting for 2060 of total cases25.53%. The tail of the pancreas ( thick diameter ) increases or slightly enlarged and enhanced echo or slightly enhanced526 cases further statistical study, learns that there are 21cases of blood glucose values > 6.11mmol / L, accounted for 3.99% (21 /526); in 330 cases of blood glucose values from 5.50 to 6.10mmol / L, accounted for 62.74% (330 /526). Results: the pancreas tail thick diameter or slightly enlarged and enhanced echo or slightly enhanced and fasting blood glucose values were statistically significant ( P < 0.05). Conclusion This study showed that the pancreatic tail thick diameter or slightly enlarged and enhanced echo or slightly enhanced with early diabetes mellitus between certain relevance: prompt case of fasting blood glucose values in the normal value range.