Analysis of features of carotid artery color doppler ultrasonography in diabetes mellitus patients complicated with cerebral infarction
10.3760/cma.j.issn.1008-6706.2020.03.021
- VernacularTitle: 糖尿病并发脑梗死患者颈动脉彩声多普勒超声征象分析
- Author:
Yonghua ZHONG
1
;
Youling WANG
;
Hui ZHANG
Author Information
1. Department of Ultrasound, the Second People's Hospital of Yuhang District, Hangzhou, Zhejiang 311121, China
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Brain infarction;
Arteriosclerosis;
Carotid arteries;
Ultrasonography, doppler, color
- From:
Chinese Journal of Primary Medicine and Pharmacy
2020;27(3):344-347
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the changes of carotid artery ultrasound in diabetes mellitus patients complicated with cerebral infarction.
Methods:From March 2017 to June 2018, 55 type 2 diabetes patients complicated with cerebral infarction in the Second People's Hospital of Yuhang District were selected as study group.Another 50 diabetes patients without cerebral infarction were selected as simple group, and 60 healthy people were selected as control group.The carotid artery colour doppler check was implemented, the carotid artery ultrasound media thickness(IMT) index and carotid plaques were compared in three groups.
Results:The IMT index in the study group was (1.84±0.23), which was significantly higher than (1.32±0.21) in the control group (t=12.674, P<0.05). The IMT index of the simple group was (1.59±0.19), which was significantly lower than that of the study group (t=6.037, P<0.05). Compared with the control group, the IMT index of the simple group was significantly higher (t=7.009, P<0.05). The detective rate of carotid unstable plaque in the study group was 85.37%(35/41), which was significantly higher than 11.54%(3/26) in the control group (χ2 =21.371, P<0.05). The detective rate of carotid unstable plaque in the simple group was 45.95%(17/37), which was significantly lower than that in the study group (χ2=19.118, P<0.05). The detective rate of carotid unstable plaque between the control group and the simple group had statistically significant difference (χ2=18.342, P<0.05).
Conclusion:The IMT index of carotid artery in diabetes patients complicated with cerebral infarction is high, and the unstable plaque examination rate is high, which are the risk factors for cerebral infarction in patients with diabetes.To do a good job in carotid atherosclerosis for diabetic patients, and give active treatment, can prevent cerebral infarction.
