【摘要】 目的探讨2型糖尿病患者颈动脉内中膜厚度(carotid intima-media thickness,IMT)与心肌梗死的临床关系,为其临床研究提供可参考依据。方法连续收集30例来我院心内科既往患有2型糖尿病及心肌梗死的患者作为观察组,同时从门诊随机抽取30名健康人群作为对照组。所有受试者均行颈部血管彩超检查,并对IMT进行测量,分析相互之间的关系。结果观察组IMT(1.62±1.21)mm,斑块例数28例,占93.3%,对照组IMT(0.63±0.41)mm,斑块例数14例,占46.7%,两组间差异比较有统计学意义(P<0.05)。进一步斑块性质分析显示观察组患者软斑14例,占50.0%,混合斑10例,占35.7%,硬斑4例,占14.3%;对照组软斑1例,占7.1%,混合斑1例,占7.1%,硬斑12例,占85.7%,两组间差异比较均存在统计学意义(P<0.05)。结论超声可以更好的检测2型糖尿病患者IMT及斑块形成,同时可以对斑块的性质进行确定,为临床预测心肌梗死的发生提供参考依据,因此对早期预防及治疗有着重要意义。更多还原

【Abstract】 Objective To explore correlation analysis of Myocardial infarction and carotid intima-media thickness in patients with type 2 diabetes mellitus. Methods Continuously collect 30 cases to our heart always with patients with type 2 diabetes and myocardial infarction as observation group,at the same time from outpatient randomly 30 cases of healthy people as control group. All subjects were performed cervical blood vessels colour to exceed examination,and the IMT measurement,analysis the relationship between each other. Results Obser vation groups IMT(1.62±1.21)mm,plaques were 28 cases, accounted for 93.3%,control group IMT(0.63±0.41)mm,plaque (14 cases,accounted for 46.7%,comparing difference between the two groups was statistically significant(P<0.05). Further patches properties analysis showed that soft spot 14 cases in observation group patients, accounted for 50.0%, 10 cases of mixed stain,accounted for 35.7%,hard spots,4 cases,account for 14.3%;Control group a soft spot in 1 case,7.1%,mixed stain in 1 case, accounted for 7.1%,hard spots,12 cases,accounted for 85.7%, compare there were statistically significant difference between the two groups(P<0.05). Conclusion Ultrasonic can better testing in patients with type 2 diabetes IMT and plaque formation,as well as to determine the nature of the plaques, provide reference for clinical predict the occurrence of myocardial infarction,and so has important significance for early prevention and treatment.更多还原