彩超对糖尿病患者下肢动脉病变临床应用价值分析

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1、彩超对糖尿病患者下肢动脉病变临床应用价值分析王淑艳(邯郸市中医院功能科河北邯郸056000)【摘要】目的：分析彩超在糖尿病患者下肢动脉病变诊断过程中的价值及糖尿病下肢病变的特点。方法：分析木院自2014年1月-10月收治的糖尿病患者156例的临床资料，将其分为非糖尿病足组与糖尿病足组，用彩超对其双下肢动脉血管形态进行检测，观察患者血管狭窄情况、彩色血流充盈情况等，对照两组检查结果，对糖尿病足及非糖尿病足的斑块发生率、狭窄阳性率、闭塞阳性率等指标进行分析。并选择无糖尿病、高血压、冠心病等病史的患者98例作为对照组，采用超声

2、检测其双下肢动脉动血管形态。结果：非糖尿病足组斑块发生率为76.58%,狭窄阳性率为28.83%,闭塞阳性率为13.51%;糖尿病足组斑块发生率80%,狭窄阳性率19.39%,闭塞阳性率20%;非糖尿病组斑块发生率19.39%,狭窄阳性率7.14%,闭塞阳性率4.08%。结论：利用彩色多普勒超声可准确诊断出糖尿病患者下肢动脉病变。【关键词】彩超；糖尿病；下肢动脉病变【中图分类号1R587.2【文献标识码】A【文章编号】1004-6194(2015)01-0233-02AnalysisofcolorDopplersonog

3、raphyinthediagnosisoflowerextremityarterialdiseaseofdiabeticpatientswithclinicalapplicationvalueWangShuyanThefunctionofHandanCityHospitaloftraditionalChinesemedicineHebeiHandan056000【Abstract】Objective:analysisofcolorDopplerultrasoundinthediagnosisoflowerextremit

4、yarterialdiseaseofdiabeticpatientsintheprocessofvalueanalysis,thecharacteristicsofthediabeticlowerextremity.Methodsanalysisoftheclinicaldataof156casesinourhospitalfrom2014JanuarytoOctoberwereinpatientswithdiabetes,whichcanbedividedintonondiabeticgroupanddiabeticf

5、ootgroup,todetectthedoublelowerlimbarterialbloodvesselmorphologywereobservedbycolorDopplerultrasound,vascularstenosis,colorflow,thetestresultsoftwogroupsofcontrol,analysisofthediabeticfootandplaqueincidenceofnondiabeticfoot,stenosis,occlusionofthepositiverateofth

6、epositiverateandotherindicators.Andselectthehistoryofhypertension,coronaryheartdisease,diabetesandother98patientsascontrolgroup,usingultrasoundtodetectthedoublelowerlimbsarteryvascularmorphology.Resultsthediabeticfootplaqueincidenceratewas76.58%,thepositiverateof

7、stenosiswas28.83%,thepositiverateofocclusionwas13.51%;diabeticfootgrouptheincidenceofplaquestenosisin80%,thepositiveratewas19.39%,thepositiverateofthe20%block;nondiabetesgrouptheincidenceofplaquestenosisin19.39%,thepositiveratewas7.14%,thepositiverateofthe4.08%bl

8、ock.ConclusionthecolorDopplerultrasoundcanaccuratelydiagnosetheperipheralarterydiseaseindiabeticpatients.【keyword】ColorDopplerultrasound;diabetes;lowerextremit