基于社区的2型糖尿病患者糖尿病视网膜病变相关危险因素
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天津市滨海新区大港区域社会发展科技项目(No.2012-02-07)


Relevant risk factors analysis of diabetic retinopathy in patients with type 2 diabetes mellitus from community
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Social Development of Science and Technology Project in Dagang District of Binhai New Area, Tianjin(No. 2012-02-07)

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    摘要:

    目的:了解本地区社区2型糖尿病患者糖尿病视网膜病变(diabetic retinopathy,DR)的相关危险因素,为社区2型糖尿病并发症的预防和治疗提供理论依据。

    方法:对本地区常住居民中2型糖尿病的住院患者,进行糖尿病视网膜病变的分期并对相关因素如病程、血压、血糖水平、血脂等进行统计学分析。

    结果:糖尿病患者176例中,DR者53例,患病率为30.1%,糖尿病病程、糖化血红蛋白是DR发生的危险因素(均为P<0.05)。年龄、收缩压、舒张压、空腹血糖、餐后2h血糖、胆固醇、甘油三脂、高密度脂蛋白、低密度脂蛋白、谷丙转氨酶、谷草转氨酶、尿肌酐、尿素氮未成为DR发生的危险因素(均为P>0.05)。

    结论:糖尿病的病程、糖化血红蛋白是糖尿病视网膜病变发生的主要危险因素。

    Abstract:

    AIM: To investigate the related risk factors of diabetic retinopathy(DR)in patients with type 2 diabetes mellitus(DM)in residents of community in our local area and provide a clinical evidence for prevention and treatment for the complication of DM.

    METHODS: The residents who lived in our local community with type 2 DM and hospitalized were studied. The stages of DR and duration of DM, blood pressure, level of blood glucose, blood lipids and other factors were analyzed statistically.

    RESULTS: Fifty-three patients(30.1%)were found with DR in 176 cases. The risk factors included the diabetic duration and glycosylated hemoglobin(all P<0.05). Age, systolic blood pressure, diastolic blood pressure, fasting blood glucose, 2-hour postprandial blood glucose, serum cholesterol, triglycerides, high dense lipoprotein, low dense lipoprotein, alanine aminotransferase, aspartate aminotransferase, creatinine, blood urea nitrogen were not risk factors of DR(all P>0.05).

    CONCLUSION: Diabetic duration and glycosylated hemoglobin are the risk factors of DR.

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郝胜利,崔洪臣,郭海龙,等.基于社区的2型糖尿病患者糖尿病视网膜病变相关危险因素.国际眼科杂志, 2013,13(10):2045-2047.

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  • 收稿日期:2013-07-03
  • 最后修改日期:2013-08-28
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  • 在线发布日期: 2013-09-23
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