CAJ | 학술논문

目的：研究高频超声对于老年糖尿病患者颈动脉粥样硬化斑块的诊断价值。方法：将笔者所在医院收治的94例老年糖尿病患者作为观察对象，待患者病情稳定后，分别采用高频超声与X光对患者的颈部动脉外直径、内直径、内中膜厚度和斑块情况进行诊断，统计诊断数据，评价不同诊断方法的诊断准确性和可行性。结果：X光检查的检出率为77.66%(73/94)，明显低于高频超声的92.55%(87/94)，比较差异有统计学意义(P<0.05)；各处颈动脉内膜中层厚度治疗后均较治疗前明显减少，比较差异均有统计学意义(P<0.05)。结论：高频超声诊断老年糖尿病颈动脉粥样硬化斑块相较于其他方法诊断的敏感度大大提高，同时也减少患者所受辐射，有利于提高预后质量，值得推广借鉴。
목적：연구고빈초성대우노년당뇨병환자경동맥죽양경화반괴적진단개치。방법：장필자소재의원수치적94례노년당뇨병환자작위관찰대상，대환자병정은정후，분별채용고빈초성여X광대환자적경부동맥외직경、내직경、내중막후도화반괴정황진행진단，통계진단수거，평개불동진단방법적진단준학성화가행성。결과：X광검사적검출솔위77.66%(73/94)，명현저우고빈초성적92.55%(87/94)，비교차이유통계학의의(P<0.05)；각처경동맥내막중층후도치료후균교치료전명현감소，비교차이균유통계학의의(P<0.05)。결론：고빈초성진단노년당뇨병경동맥죽양경화반괴상교우기타방법진단적민감도대대제고，동시야감소환자소수복사，유리우제고예후질량，치득추엄차감。
Objective:To evaluate the diagnostic value analysis of high-frequency ultrasound in the treatment of carotid atherosclerotic plaques in elderly patients with diabetes. Method:94 patients with carotid atherosclerotic plaques in elderly patients with diabetes were included in this study. Based on the sequence of enrollment,they were receiving high-frequency ultrasound and receiving X rays besides the same basic operative treatment in the two groups. The liver function parameters were observed and compared statistically. Result:X-ray detection rate was 77.66%(73/94),and it was significantly lower than the high-frequency ultrasound which was 92.55%(87/94),the difference was of statistically significant(P<0.05). All carotid intima-media thickness after treatment was significantly lower than before treatment,the difference was of statistically significant (P<0.05). Conclusion:High-frequency ultrasound has good diagnostic value in the treatment of carotid atherosclerotic plaques in elderly patients with diabetes.