The study of the cerebrovascular reserve in patients with diabetes or the combined diabetes and cerebral infarction
10.3969/j.issn.1006-6187.2009.12.013
- VernacularTitle:糖尿病及其脑梗死患者脑血管贮备的研究
- Author:
Chaohong GUAN
;
Weidong CHEN
- Publication Type:Journal Article
- Keywords:
Cerebrovascular reserve(CVR);
Diabetes;
Diabetic lacunar infarction(DLI);
Transcranial Doppler ultrasonography (TCD)
- From:
Chinese Journal of Diabetes
2009;17(12):918-920
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the association of cerebrovascular reserve(CVR) with diabetes(DM)、hypertensive atherosclerotic lacunar infarction(HALI),hypertension(HT) and diabetic lacunar infarction(DLI) by means of transcranial Doppler ultrasonography (TCD) with breath-holding maneuver.Methods The breath-holding index (BHI), which was the percentage increase in middle cerebral artery(MCA) blood flow velocity as index of CVR assessment,was detected during breath-holding by TCD and breath-holding technique in 30 diabetic patients,30 hypertensive atherosclerotic lacunar infarction patients,30 hypertension patients and 30 diabetic lacunar infarction patients. Results There was significant difference in the ascending rates of Vm and BHI between diabetic group and diabetic lacunar infarction group,diabete lacunar infarction group and hypertensive atherosclerotic lacunar infarction group,hypertension group and diabetic group (all P<0.05). Conclusions Diabetes can more significantly impair CVR than hypertension. Diabetic lacunar infarction can more significantly impair CVR than diabetes. Diabetic lacunar infarction can more significantly impair CVR than hypertensive atherosclerotic lacunar infarction .