医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2014年
24期
4553-4554
,共2页
糖尿病并发症%颈动脉%肾小球滤过率%动脉粥样硬化%血管重构%超声检查
糖尿病併髮癥%頸動脈%腎小毬濾過率%動脈粥樣硬化%血管重構%超聲檢查
당뇨병병발증%경동맥%신소구려과솔%동맥죽양경화%혈관중구%초성검사
Diabetes complications%Carotid arteries%Glomeruar filtration rate%Atherosclerosis%Vas-cular remodeling%Ultrasonography
目的：探讨应用超声评价2型糖尿病肾病患者肾小球滤过率( GFR)对颈动脉血管重构的影响。方法将2011年11月至2012年11月深圳市盐田区第二人民医院收治的73例2型糖尿病肾病颈动脉粥样硬化患者按照GFR不同分为两组：GFR≥60 mL/(min·1.73 m2)为A组38例,GFR<60 mL/(min·1.73 m2)为B组35例；另外,选择同期收治的40名健康志愿者作为对照组(C组)。应用高频超声测量受试者颈动脉血管总面积,计算重构指数( RI)。结果 B组血管重构的发生率大于A组,差异有统计学意义(P<0.05)；A以无重构为主。 B组负性重构的发生率41.67%(25/60)与C组7.14%(1/14)比较差异有统计学意义(P<0.05)。结论超声可以准确、快捷地监测2型糖尿病肾病颈动脉粥样硬化患者颈动脉血管重构情况。
目的：探討應用超聲評價2型糖尿病腎病患者腎小毬濾過率( GFR)對頸動脈血管重構的影響。方法將2011年11月至2012年11月深圳市鹽田區第二人民醫院收治的73例2型糖尿病腎病頸動脈粥樣硬化患者按照GFR不同分為兩組：GFR≥60 mL/(min·1.73 m2)為A組38例,GFR<60 mL/(min·1.73 m2)為B組35例；另外,選擇同期收治的40名健康誌願者作為對照組(C組)。應用高頻超聲測量受試者頸動脈血管總麵積,計算重構指數( RI)。結果 B組血管重構的髮生率大于A組,差異有統計學意義(P<0.05)；A以無重構為主。 B組負性重構的髮生率41.67%(25/60)與C組7.14%(1/14)比較差異有統計學意義(P<0.05)。結論超聲可以準確、快捷地鑑測2型糖尿病腎病頸動脈粥樣硬化患者頸動脈血管重構情況。
목적：탐토응용초성평개2형당뇨병신병환자신소구려과솔( GFR)대경동맥혈관중구적영향。방법장2011년11월지2012년11월심수시염전구제이인민의원수치적73례2형당뇨병신병경동맥죽양경화환자안조GFR불동분위량조：GFR≥60 mL/(min·1.73 m2)위A조38례,GFR<60 mL/(min·1.73 m2)위B조35례；령외,선택동기수치적40명건강지원자작위대조조(C조)。응용고빈초성측량수시자경동맥혈관총면적,계산중구지수( RI)。결과 B조혈관중구적발생솔대우A조,차이유통계학의의(P<0.05)；A이무중구위주。 B조부성중구적발생솔41.67%(25/60)여C조7.14%(1/14)비교차이유통계학의의(P<0.05)。결론초성가이준학、쾌첩지감측2형당뇨병신병경동맥죽양경화환자경동맥혈관중구정황。
Objective To observe the impact of Ultrasound in evaluation on impact of glomeruar filtra-tion rate( GFR) to carotid remodeling for type 2 diabetes nephropathy patients. Methods Patients with type 2 diabetes nephropathy were divided into 2 groups according to the level of GFR:38 with GFR level more thanorequalto60mL/(min·1.73m2)ingroupA,while35withGFRlevellesstha60mL/(min·1.73 m2 ) in group B;40 healthy subjects were enrolled as group C. All subjects were examined with high-frequen-cy ultrasound. When atherosclerotic plaque was found,the total vessel area and lumen area were measured, and the remodeling index was calculated. Results The remodeling rate of carotid atherosclerosis in group B [(85. 71%(30/35)) was higher than that in group A[39. 47%(15/38); all P<0. 05),and in group A and B was higher than that in group C[17. 50%(7/40; both P<0. 05). The positive remodeling rate was higher than in all the groups,but positive remodeling is the main type of group A and B,vesels without re-modeling was the main type of group C;there was statistical difference of negative remodeling rate between group B and C[41. 67%(25/60) vs. 7. 14%(1/14),P <0. 05)]. Conclusion High-frequency ultra-sound can accurately and quickly monitoring type 2 diabetic nephropathy patients with carotid atherosclerotic carotid artery vascular remodeling situations.
