CAJ | 학술논문

目的：探究糖尿病并发缺血性卒中患者下肢动脉病变的彩超特征。方法：选取我院于2014年3月至2014年11月收治的82例糖尿病患者作为此次研究对象，按照基本状况分为两组，观察组为糖尿病并发缺血性卒中患者，对照组为糖尿病患者，每组41例。对两组患者均行彩色多普勒超声检查，对比两组患者的动脉粥样硬化发生率、不同类型斑块发生率、血管内径和厚度以及血管狭窄情况。结果：研究组胫前动脉、胫后动脉、足背动脉粥样硬化的发生率均比对照组高（ P＜0．05）。研究组粥样硬化软斑和硬斑的发生率高于对照组（P＜0．05），而混合斑的发生率低于对照组（P＜0．05）。研究组的腘动脉、胫前动脉、胫后动脉和足背动脉的内径均小于对照组（ P＜0．05），厚度大于对照组（ P＜0．05），研究组胫前动脉、胫后动脉和足背动脉的O级狭窄的比例大于对照组（P＜0．05），Ⅲ级狭窄的比例小于对照组（ P＜0．05），两组患者的股总动脉、股浅动脉、腘动脉的粥样硬化发生率、股总动脉、股浅动脉的内径与厚度比较和股总动脉和股浅动脉的狭窄情况比较无统计学差异（ P＞0．05）。结论：彩超检查糖尿病并发缺血性卒中患者下肢动脉病变临床价值高，值得进一步推广。
목적：탐구당뇨병병발결혈성졸중환자하지동맥병변적채초특정。방법：선취아원우2014년3월지2014년11월수치적82례당뇨병환자작위차차연구대상，안조기본상황분위량조，관찰조위당뇨병병발결혈성졸중환자，대조조위당뇨병환자，매조41례。대량조환자균행채색다보륵초성검사，대비량조환자적동맥죽양경화발생솔、불동류형반괴발생솔、혈관내경화후도이급혈관협착정황。결과：연구조경전동맥、경후동맥、족배동맥죽양경화적발생솔균비대조조고（ P＜0．05）。연구조죽양경화연반화경반적발생솔고우대조조（P＜0．05），이혼합반적발생솔저우대조조（P＜0．05）。연구조적객동맥、경전동맥、경후동맥화족배동맥적내경균소우대조조（ P＜0．05），후도대우대조조（ P＜0．05），연구조경전동맥、경후동맥화족배동맥적O급협착적비례대우대조조（P＜0．05），Ⅲ급협착적비례소우대조조（ P＜0．05），량조환자적고총동맥、고천동맥、객동맥적죽양경화발생솔、고총동맥、고천동맥적내경여후도비교화고총동맥화고천동맥적협착정황비교무통계학차이（ P＞0．05）。결론：채초검사당뇨병병발결혈성졸중환자하지동맥병변림상개치고，치득진일보추엄。
Objective:To explore the ultrasonic characteristics of lower extremity arterial disease in pa-tients with diabetes mellitus complicated with ischemic stroke .Method:82 cases of diabetic patients in our hospital were treated as the research object from March 2014 to November 2014 , be divided into two groups according to the basic situation , the study group for patients with diabetes mellitus complicated with ische-mic stroke, control group were diabetes patients , 41 cases in each group.The patients in two groups were un-derwent color Doppler ultrasonography , The different types rate of atherosclerosis , plaque incidence rate , blood vessel diameter and thickness and vascularstenosis of two groups patients were compared .Result: The incidence of anterior tibial artery , posterior tibial artery , dorsalis pedis artery atherosclerosis in study group were higher than the control group ( P <0.05) .The occurrence rate of atherosclerotic soft plaque and hard plaque in research group were higher than control group (P <0.05), and occurrence rate of mixed plaque were lower than control group ( P <0.05) .The Inside diameter of popliteal artery , anterior tibial artery , pos-terior tibialartery in study group were lower than control group ( P <0.05) , the thickness were more than control group ( P <0.05) , The proportion of O grade stenosis ofanterior tibial artery , posterior tibial artery and dorsalis pedis artery of research group were greater than control group ( P <0.05).Conclusion: The clinical value of color Doppler ultrasound examination is high for Lower extremity arterial disease in patients with diabetes complicated with ischemic stroke , it is worth further promotion .