老年高血压病和糖尿病患者颈动脉粥样硬化的临床研究

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。

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

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 type 2 DM complicated with EH ( DM EH). Plasma lipids and ultrasonography for carotid artery were examined. Results Level of TG was significantly higher in DM and DM EH. The carotid resistance index was significantly higher in DM and DM EH, intima media thickness of common carotid artery was increased in all three groups. Plaque index was higher in DM EH than in EH. Conclusions The results of the study indicate that the elderly hypertention with DM patients are susceptible to carotid atherosclerosis.