老年高血压病和糖尿病患者颈动脉粥样硬化的临床研究

Characterstics of the carotid atherosclerosis in senile patient withessential hypertension and type-2 diabetes mellitus

摘要:

目的 研究老年高血压病、糖尿病患者颈动脉粥样硬化的特征。方法 82例住院患者分为高血压病组 (EH ,2 2例 )、糖尿病合并高血压病组 (DM EH ,4 6例 )、糖尿病组 (DM ,14例 ) ,比较 3组患者血脂改变及颈动脉超声检测结果。结果 DM组和DM EH组患者血浆TG水平均明显升高。DM组和DM EH组颈动脉阻力指数均显著升高 ,3组颈总动脉内膜 中膜厚度明显增厚。DM EH组患者斑块指数较单纯EH组明显增高。结论 老年高血压合并糖尿病者 ,并发颈动脉粥样硬化的危险性明显增加。

Abstract:

Objective To study the characteristics of the carotid atherosclerosis in senile essential hypertension and type 2 diabetes mellitus (DM). Methods Eighty two elderly patients were divided into three groups: type 2 DM, essential hypertension (EH), and