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DİABETİK HASTALARDA ALT ÇENENİN MERKEZİ KAN AKIMININ DEĞERLENDİRİLMESİNDE DOPLER ULTRASONOGRAFİ

DOPPLER SONOGRAPHY FOR THE ASSESMENT OF CENTRAL MANDIBULAR BLOOD FLOW IN DIABETIC PATIENTS

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Abstract (2. Language): 
Diabetes is a life-long disease marked by high levels of sugar in the blood. It can be caused by too lit¬tle insulin, resistance to insulin, or both. Microangio-pathy is one of the major complications of diabetes mellitus. Because of microangiopathy small vessels may be effect. In this study Doppler sonography was u¬sed in the assessment of central mandibular blood flow. The characteristics of blood flow in the mental artery, the larger terminal branch of the inferior alveolar ar¬tery, in the patients with DM and healthy volunteers. The variables analysed were patency, peak systolic ve¬locity (PSV:cm/sn), end-diastolic velocity (EDV: cm/sn), pulsality index(PI), resistive index (RI) and time-averaged maximum velocity (TAMAX). Mann-Whitney U test showed significant differences(P<0.05) between the patients with DM and healthy volunteers for EDV. The difference in other measurements bet¬ween the patients with DM and healthy volunteers was not significant. The Doppler ultrasonography is simple and could be used to influence clinical decisions.
Abstract (Original Language): 
Diabetes Mellitus (DM) kanda yaşam boyu şeker düzeyinin yüksekliği ile seyreden bir hastalıktır. İnsülin hormonunun yokluğu, yetersizliği veya etkisizliği bu tablonun ortaya çıkmasına neden olmaktadır. DM'nin temel komplikasyonlarından biri mikroanjio-patidir. Bu sebeple de küçük damarlardaki kan akımı etkilenebilir. Çalışmada alt çenenin merkezi kan akımını değerlendirmek için dopler ultrasonografi kulanıl-mıştır. İnferior alveoler arterin (İAA) daha büyük dalı olan mental arterdeki kan akımı karakteristikleri 10 DM'li hastada ve 10 sağlıklı bireyde değerlendirildi. Analiz edilen değerler, pik sistolik hız (PSV:cm/sn), diastol sonu hız (EDV:cm/sn), pulsalite indeksi (PI), direnç indeksi (RI), zaman ortalamalı maksimum hız (TAMAX)'dı. Mann-Whitney U testi her iki grup arasında EDV için önemli bir fark olduğunu gösterdi (P<0.05). Ancak diğer değerler arasında önemli bir fark bulunamamıştır. Dopler ultrasonografi basit bir uygulamadır ve klinik kararlarda etkili olabilir.
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