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SCIE SCOPUS
인슐린비의존성 당뇨병환자의 말초동맥에 대한 도플러 유량속도 파형분석
Doppler Flow Velocity Waveform Analysis of Peripheral Arteries in Patients with NIDDM
전윤창(Yun Chang Jun), 권중혁(Joong Hkyuck Kwon), 손봉준(Bong Jun Son), 김범수(Bum Soo Kim), 김병익(Byung Ik Kim), 이만호(Man Ho Lee), 정을순(Eul Soon Chung), 이상종(Sang Jong Lee)
UCI I410-ECN-0102-2009-510-005471344
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Background: Diabetes produce degenerative changes in vascular beds. The vessel lesions in skin and muscles are more frequently involved than in kidney and retina. For evaluation of Diabetic microangiopathy, Doppler Flow Velocity Waveform Analysis (FVWFA) was performed iin peripheral arteries(dorsalis pedis artery and radial artery). Method: We divided 88 persons into four groups; group I, 28 diabetic patients below 50 years-old age; group II, 32 diabetic patients above 51 years-old age; group III, 14 healthy controls below 50 years-old age, group IV, 14 healthy controls below 50 years-old age. Four waveform dimensions for different degrees of peripheral obstructive arteriolar disease were determined on velocity tracing. We used a single discriminant equation. Results: 1) Discriminating score(D.S.) showed significant differences between groups of diabetic patients(group I and II) and control subjects(group III and IV). D.S. of NIDDM patients were -4.5+4.1 in dorsalis pedis artery and 0.1+3.7 in radial artery. D.S. of control group were 0.5+5.6 in dorsalis pedis artery and 3.2 +3.5 in radial artery. 2) Discriminating score, derived from FVWFA on dorsalis pedis artery and radial artery, showed significant differences between group I and III. D.S. of group I were -6.1 + 3.2 in dorsalis pedis artery and -0.2+1.9 in radial artery and group III were 2.8+5.9 in dorsalis pedis artery and 6.2+3.3 in radial artery. Conclusion: We believed that doppler flow velocity waveform could be useful, relatively simple, and sensitive method in early and correct clinical diagnosis and follow-up of diabetic microangiopathy.

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