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| High frequency ultrasonography for detecting blood flow parameters of fingertip and toe artery in patients with type 2 diabetes mellitus and its screening value in early vascular diseases |
| HE Cuiling1 SUN Zhenjie2 FAN Xiaojun3 |
1.Department of Ultrasonography, the Workers′ Hospital of Tangshan City, Hebei Province, Tangshan 063000, China;
2.Department of Endocrinology, the Workers′ Hospital of Tangshan City, Hebei Province, Tangshan 063000, China;
3.Department of Ultrasonography, Tangshan People′s Hospital, Hebei Province, Tangshan 063000, China |
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Abstract Objective To analyze the detection of high frequency ultrasonography in blood flow parameters of finger, toe tip artery and screening value of early vascular disease in patients with type 2 diabetes mellitus (T2DM). Methods From March 2016 to March 2017, 90 cases of T2DM in the Workers′ Hospital of Tangshan City ("our hospital" for short) were selected as the T2DM group, among them, there were 48 cases with the disease duration of 1-3 years, 22 cases with > 3-9 years, 11 cases with >9-<16 years, and 9 cases with ≥ 16 years. Ninety healthy subjects in our hospital were selected as the control group at the same period. The blood flow parameters of finger and toe tip artery were detected by high frequency ultrasonography in the each group. Results The resistance index of finger tip artery in patients with the disease duration of >3-9 years, >9-＜16 years and ≥ 16 years in the T2DM group were significantly higher than those in the control group, and the blood flow were significantly lower than those in the control group, the differences were statistically significant (P < 0.05). The finger tip peripheral arterial vascular diameter for patients with the disease duration of >9-＜16 years and ≥ 16 years in the T2DM group were significantly lower than those in the control group, the differences were statistically significant (P < 0.05). The resistance index of toe tip artery for patients with the disease duration >3-9 years, >9-＜16 years and ≥ 16 years in the T2DM group were significantly higher than those in the control group, and the vascular diameter and blood flow were significantly lower than those in the control group, the differences were statistically significant (P < 0.05). Conclusion Using high frequency ultrasonography can effectively detect the blood flow parameters of finger and toe tip artery in patients with T2DM, which can help to screen the early vascular lesion, so it has important assessment value.
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