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| 舌下络脉与糖尿病和高血压病关系的临床观察 |
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张淼1,2,3, 黄蓉1,2,3, 彭强4, 宋丽培4, 汪容1,2,3, 陈瑞扬1,2,3, 刘晨路1,2,3
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1.天津市口腔医院黏膜科, 天津 300041;2.南开大学医学院, 天津 300041;3.天津市口腔功能重建重点实验室, 天津 300041;4.南开大学电子信息与光学工程学院, 天津 300350
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| 摘要: |
| [目的] 观察糖尿病患者、高血压病患者与正常人群舌下络脉的差异性，探讨舌下络脉临床表现与糖尿病和高血压病之间的关系。[方法] 随机选取符合条件的糖尿病患者、高血压病患者以及正常人群，运用高清数码相机拍摄舌下血管，记录相关数据，进行统计学分析。运用A005+自动对焦数码显微镜拍摄舌下血管形态，观察不同组别舌下血管微观表现。[结果] 高血压病患者与正常人群相比，在静脉粗细、有无血管袢上差异有统计学差异，在静脉弯曲程度、动脉显现程度上差异无统计学意义；糖尿病患者与正常人群相比，在静脉粗细、静脉弯曲程度、动脉显现程度、有无血管袢上差异有统计学差异；高血压病患者与糖尿病患者，在静脉粗细、静脉弯曲程度、动脉显现程度、有无血管袢上差异有统计学意义。本研究运用显微镜拍摄不同组舌下血管微观形态，按照点状、腊肠状、树枝状、网状血管进行分类，发现高血压病患者舌下血管微观表现与糖尿病患者、正常组之间差异有统计学意义。糖尿病患者舌下血管多见网状血管，与高血压病患者之间差异有统计学意义，但与正常者之间差异无统计学意义。[结论] 糖尿病患者与高血压病患者在舌下络脉的表现上与正常人群具有差别，糖尿病患者与高血压病患者的舌下络脉之间也具有差异性，因此舌下络脉的观察可考虑作为临床诊疗检查的1项参考依据。 |
| 关键词: 舌下络脉 舌下血管 高血压病 糖尿病 临床观察 |
| DOI：10.11656/j.issn.1672-1519.2022.12.03 |
| 分类号:R544.1 |
| 基金项目:天津市卫生健康委员会中医中西医结合科研课题(2019123);天津市医学重点学科(专科)建设项目(TJYX2DXK-048A)。 |
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| Different manifestations of sublingual collaterals in patients with diabetes and hypertension |
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ZHANG Miao1,2,3, HUANG Rong1,2,3, PENG Qiang4, SONG Lipei4, WANG Rong1,2,3, CHEN Ruiyang1,2,3, LIU Chenlu1,2,3
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1.Department of Oral Medicine, Tianjin Stomatological Hospital, School of Medicine, Tianjin 300041, China;2.Nankai University, Tianjin 300041, China;3.Tianjin Key Laboratory of Oral and Maxillofacial Function Reconstruction, Tianjin 300041, China;4.College of Electronic Information and Optical Engineering, Nankai University, Tianjin 300350, China
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| Abstract: |
| [Objective] We designed this experiment to find the differences of sublingual collaterals among patients with diabetes and hypertension from normal people and to discuss the suggestive effect of sublingual collaterals in diabetes and hypertension. [Methods] Patients with diabetes,hypertension and normal subjects were randomly selected. And the sublingual blood vessels were photographed with hig-definition digital camera,and the relevant data were recorded and analyzed statistically. A005+ autofocus digital microscope was used to observe the microscopic manifestations of the sublingual blood vessels in different groups. [Results] Compared with the normal population,patients with hypertension have statistcal differences in vein thickness,artery appearance degree,presence of vascular loops,but there is no statistical difference in vein bending degree. Compared with normal people,diabetic patients have statistical differences in vein thickness,vein bending degree,artery appearance degree,and presence of vascular loops. There are statistical differences between hypertensive patients and diabetic patients in vein thickness,vein bending degree,artery appearance degree and presence of vascular loops. This topic used microscopy to shoot the micromorphology of sublingual blood vessels in different groups,and classified them according to point,sausage,dendritic and reticular blood vessels. It was found that the microperformance of sublingual blood vessels in hypertension patients has certain specificity,with point blood vessels as typical manifestations,and specificity between diabetic patients and normal groups. The sublingual vessels of diabetic patients are mostly mesh vessels,which have some specificity between hypertensive patients,but the specificity is not obvious between normal patients. [Conclusion] The performance of sublingual collaterals between diabetic patients and hypertensive patients is different from that of normal people,and there are also differences between diabetic patients and hypertensive patients,so the observation of sublingual collaterals can be considered as a reference for clinical diagnosis and treatment. |
| Key words: sublingual collaterals sublingual blood vessels hypertension diabetes clinical observation |
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