任秀东 郝晓英 郭海纹

[摘要] 目的 糖尿病患者下肢动脉血管病变的超声诊断价值。方法 将2018年11月—2019年11月来该院的50例糖尿病患者作为研究对象，并将其设定为研究组，同时选取50名常規体检人员作为对照组，研究组和对照组均采用超声诊断，随后评价下肢动脉血管病变发生率、下肢动脉血管病变具体情况及两组下肢动脉血管病变内径情况。结果 研究组下肢动脉血管病变发生率90.00%明显高于对照组56.00%，差异有统计学意义（χ2=14.663，P<0.05）。研究组血流速度、血管内径（5.16±0.52）cm/s、（3.38±0.89）mm均低于对照组，研究组内中膜厚度（1.37±0.29）mm高于对照组，差异有统计学意义（P<0.05）。研究组股动脉（6.03±2.02）mm、胫前动脉（2.86±0.35）mm及腘动脉（4.92±0.56）mm均低于对照组，差异有统计学意义（P<0.05）。结论 超声诊断对糖尿病患者具有显著的临床诊断价值，诊断后，可以有效判断糖尿病患者下肢动脉血管病变情况，为临床治疗提供可靠依据，应被进一步推广。

[关键词] 糖尿病;下肢动脉血管病变;超声诊断;诊断价值

[中图分类号] R58          [文献标识码] A          [文章编号] 1672-4062（2020）08（a）-0194-03

[Abstract] Objective To evaluate the value of ultrasound in the diagnosis of lower extremity arterial disease in diabetic patients. Methods From November 2018 to November 2019， 50 diabetic patients in the hospital were selected as the study group， and 50 routine physical examination personnel were selected as the control group. The study group and the control group were diagnosed by ultrasound， and then the incidence of lower extremity arterial disease， the specific situation of lower extremity arterial disease and the inner diameter of lower extremity arterial disease were evaluated. Results The incidence of lower extremity artery disease in the study group was 90.00%， which was significantly higher than that in the control group （56.00%）， the difference was statistically significant（χ2=14.663，P<0.05）. The blood flow velocity and the diameter of blood vessels in the study group （5.16±0.52）cm/s，（3.38±0.89）mm were lower than those in the control group， and the thickness of the medial membrane in the study group （1.37±0.29）mm was higher than that in the control group， the difference was statistically significant（P<0.05）. Diameter of lower extremity artery lesions： the femoral artery （6.03±2.02）mm， anterior tibial artery （2.86±0.35）mm and popliteal artery （4.92±0.56）mm in the study group were lower than those in the control group， the difference was statistically significant， the difference was statistically significant（P<0.05）. Conclusion Ultrasound diagnosis has significant clinical diagnostic value for diabetic patients. After diagnosis， it can effectively judge the lower extremity artery disease of diabetic patients， provide reliable basis for clinical treatment， and should be further promoted.

[Key words] Diabetes mellitus; Lower extremity artery angiopathy; Ultrasound diagnosis; Diagnostic value

糖尿病属于终身性疾病，具体是指高血糖引发的疾病，该病临床较为常见且多发，发病原因与胰岛素抵抗、胰岛素分泌缺陷密切相关[1-2]。研究发现，糖尿病患者发病后，若不及时采取干預措施，极易引发下肢动脉血管病变，进而导致下肢坏死。目前，随着现代社会不断发展以及人们生活水平不断提高，该病发病率呈逐年上升趋势，严重危及人们健康问题，因此，对于糖尿病合并下肢动脉血管病变患者而言，早期诊断、早期治疗具有重要意义。故该次研究将2018年11月—2019年11月来该院的糖尿病患者50例作为研究对象，对患者采用超声诊断后，对下肢动脉血管病变发生率、下肢动脉血管病变具体情况及两组下肢动脉血管病变内径情况进行评价，现报道如下。

1  资料与方法

1.1  一般资料

将来该院治疗的50例糖尿病患者作为研究对象，并将其设定为研究组，同时选取50名常规体检人员作为对照组。……