医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
33期
52-52,53
,共2页
孙飞%吕玉洁%韩子全%杨再华%杨玉平%李海英%牛文翠%马卫华%齐莹%李鼎%邹翠文%万钢%申元
孫飛%呂玉潔%韓子全%楊再華%楊玉平%李海英%牛文翠%馬衛華%齊瑩%李鼎%鄒翠文%萬鋼%申元
손비%려옥길%한자전%양재화%양옥평%리해영%우문취%마위화%제형%리정%추취문%만강%신원
颈动脉彩超%血压%腰围%颈围%血糖
頸動脈綵超%血壓%腰圍%頸圍%血糖
경동맥채초%혈압%요위%경위%혈당
Carotid artery color Doppler%Blood pressure%Waist%Neck circumference%Blood glucose
目的分析糖尿病患者颈动脉彩超的临床意义及其与代谢相关因素的相关性，以寻找在基层医院进行预筛时的替代指标。方法418例患者按照颈动脉彩超检查结果分为正常组(内中膜度厚度<0.9 mm、无斑块及狭窄)和异常组(内中膜度厚度≥0.9 mm有斑块或狭窄者)；选取与代谢相关的因素(如血压、腰围、颈围、BMI、血糖、血脂)等数据，进行数据分析；比较两组患者各相关指标之间的差异。结果颈动脉检查正常组中颈围、腰围、收缩压，明显低于异常组，两组差异有统计学意义(<0.01)；空腹血糖正常组低于异常组，两组差异有统计学意义(<0.05)；高密度脂蛋白胆固醇正常组高于异常组，两组差异有统计学意义(<0.01)。结论颈围、腰围、收缩压、空腹血糖、HDL均与大血管病变存在关联性，其中颈围可推荐作为基层医院筛查颈动脉异常的预筛指标进行推荐。
目的分析糖尿病患者頸動脈綵超的臨床意義及其與代謝相關因素的相關性，以尋找在基層醫院進行預篩時的替代指標。方法418例患者按照頸動脈綵超檢查結果分為正常組(內中膜度厚度<0.9 mm、無斑塊及狹窄)和異常組(內中膜度厚度≥0.9 mm有斑塊或狹窄者)；選取與代謝相關的因素(如血壓、腰圍、頸圍、BMI、血糖、血脂)等數據，進行數據分析；比較兩組患者各相關指標之間的差異。結果頸動脈檢查正常組中頸圍、腰圍、收縮壓，明顯低于異常組，兩組差異有統計學意義(<0.01)；空腹血糖正常組低于異常組，兩組差異有統計學意義(<0.05)；高密度脂蛋白膽固醇正常組高于異常組，兩組差異有統計學意義(<0.01)。結論頸圍、腰圍、收縮壓、空腹血糖、HDL均與大血管病變存在關聯性，其中頸圍可推薦作為基層醫院篩查頸動脈異常的預篩指標進行推薦。
목적분석당뇨병환자경동맥채초적림상의의급기여대사상관인소적상관성，이심조재기층의원진행예사시적체대지표。방법418례환자안조경동맥채초검사결과분위정상조(내중막도후도<0.9 mm、무반괴급협착)화이상조(내중막도후도≥0.9 mm유반괴혹협착자)；선취여대사상관적인소(여혈압、요위、경위、BMI、혈당、혈지)등수거，진행수거분석；비교량조환자각상관지표지간적차이。결과경동맥검사정상조중경위、요위、수축압，명현저우이상조，량조차이유통계학의의(<0.01)；공복혈당정상조저우이상조，량조차이유통계학의의(<0.05)；고밀도지단백담고순정상조고우이상조，량조차이유통계학의의(<0.01)。결론경위、요위、수축압、공복혈당、HDL균여대혈관병변존재관련성，기중경위가추천작위기층의원사사경동맥이상적예사지표진행추천。
Objective Analysis the carotid artery color Doppler of diabetic patients and its relationship with metabolic factors, to find alternative indicators for pre-screen in the primary hospital. Methods According to the results of carotid artery ultrasonography, 418 patients were divided into normal group (intima-media of thickness<0.9mm, no plaque and stenosis) and abnormal (intima-media thickness ≥ 0.9mm of plaque or stenosis); select the factors related to metabolism (such as blood pressure, waist, neck circumference, BMI and blood glucose, blood lipid), compare the dif erences between the two groups of patients al relevant indexes. Results Carotid ultrasound in normal group, neck circumference, waist circumference, systolic blood pressure, which is significantly lower than that in abnormal group, there are significant dif erence between two groups ( <0.01);fasting blood glucose in normal group is lower than the abnormal group, there was significant dif erence between two groups ( <0.05);high density lipoprotein cholesterol in normal group is higher than the abnormal group, there was significant dif erence between two groups ( <0.01). Conclusion Neck circumference, waist circumference, systolic blood pressure, fasting blood glucose, HDL are associated with vascular disease, the neck circumference can be recommended as the pre screening index for carotid artery abnormal at primary hospital.
