彩色多普勒超声对糖尿病眼部血管血流动力学的监测作用
陈兵勇;陈婕;尹晓云;黄继才;李景珊
【期刊名称】《广州医学院学报》 【年(卷),期】2015(000)003
【摘要】目的：探讨彩色多普勒超声在糖尿病眼部血管血流动力学检测中的应用价值。方法：纳入本院2013年5月1日到2014年11月30日收治的2型糖尿病眼病患者180例，通过眼底镜检查，将180例2型糖尿病眼病患者分为3组，糖尿病无视网膜病变研究组（NDR 组）67例、糖尿病视网膜病变非增殖期组（NPDR 组）52例、糖尿病视网膜病变增殖期组（PDR 组）61例，并选取健康人群30人作为对照组，对纳入分析的患者和健康人群进行彩色多普勒超声检查并对视网膜中央动脉（ CRA）、睫状后动脉（PCA）、眼动脉（OA）的血流参数指标分析。结果：2型糖尿病眼病患者 CRA、PCA 和 OA 的收缩期峰值流速（PSV）、舒张末期血流速度（EDV）均较健康人群低（P﹤0.05）；阻力指数 RI）均较健康人群高（P﹤0.05）；其中 CRA、PCA 和 OA 在 NDR 组、NPDR 组和 PDR 组的 PSV、EDV 呈下降趋势，组间比较差异有统计学意义（P﹤0.05）；RI 呈上升趋势，组间比较差异有统计学意义（P﹤0.05）。结论：彩色多普勒超声监测眼部血管的血流状态可以对2型糖尿病眼病的病变严重程度进行判定，从而为该病的治疗和疾病预后的判断提供有价值的依据。%Objective:To investigate the value of color Doppler flow imaging(CDFI)in
the
clinical
study
of
diabetic
eye
vascular
hemodynamics.Methods:A total of 180 patients with type 2 diabetic eye disease in our hospital between May 1,2013 and November 30,2014
were included in the study. According to fundus examination,these 180 patients with type 2 diabetic eye disease were assigned to three groups,namely,the non-diabetic retinopathy(NDR)group(n= 67),the non-proliferative diabetic retinopathy(NPDR)group(n = 52) and proliferative diabetic retinopathy( PDR)group( n = 61). Thirty healthy individuals were recruited as controls. All subjects underwent color Doppler ultrasonography. Indexes regarding hemodynamics of the central retinal artery(CRA),posterior ciliary artery(PCA),and the ophthalmic artery(OA)in these subjects were analyzed.Results:Patients with type 2 diabetic eye diseases had lower levels of peak systolic velocity(PSV)and end diastolic velocity(EDV)of CRA,PCA and OA(P﹤0.05),but higher resistance index(RI,P﹤0.05),than the healthy controls. The PSV and EDV of CRA,PCA and OA tended to be declining in the group order NDR, NPDR and PDR group,with significant difference among the three groups( P ﹤ 0. 05);the RI showed an increasing tendency across these three groups(P﹤0.05).Conclusion:Color Doppler ultrasonographic monitoring of blood flow to the eye vascular status in type 2 diabetics may help identifying the disease severity,and provide valuable evidence for the treatment and prognostic evaluation of the disease.
【总页数】4页(97-100)
【关键词】彩色多普勒超声;2 型糖尿病眼病;血流动力学
【作者】陈兵勇;陈婕;尹晓云;黄继才;李景珊
【作者单位】佛山市顺德桂洲医院 B 超科，广东 佛山 528305;佛山市顺德桂洲医院 B 超科，广东 佛山 528305;佛山市顺德桂洲医院 B 超科，广东 佛山 528305;佛山市顺德桂洲医院 B 超科，广东 佛山 528305;佛山市顺德桂洲医院 B 超科，广东 佛山 528305 【正文语种】中文 【中图分类】R445.1 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_journal-guangzhou-medical-college_thesis/0201244217220.html 【相关文献】
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彩色多普勒超声对糖尿病眼部血管血流动力学的监测作用
