544例糖尿病患者视网膜病变临床分析  

Clinical Analysis of Diabetic Retinopathy in 544 Patients with Diabetes Mellitus

作　　者：王竹兰[1] 冯根宝[1] 王燕燕[1] 张克勤[1] 邹效漫[1] 

机构地区：[1]南京军区南京总医院内分泌科,210002

出　　处：《天津医药》1995年第2期93-96,共4页Tianjin Medical Journal

摘　　要：对7年来住院的544例糖尿病(DM)患者视网膜病变(DR)发生情况进行了调查分析,结果表明:视网膜病变总发生率为34％。其中非增殖性为29.8％,增殖性为4.2％。DR发生率与性别、糖尿病类型及血糖高低关系不显著,与糖尿病患者的年龄、血压及尿蛋白关系较密切。提出防止DM患者失明的关键是严格控制血糖、血压,必要时对有视网膜病变的患者进行激光光凝和/或玻璃体切割术可能会收到良好的效果。Diabetic retinopathy (DR) in 544 diabetic patients were investigated in recent 7 years. The results showed that the incidence of retinopathy in these patients was 34% ,in which 29- 8% was non-proliferative and 4-2% was proliferative. The incidence of retinopathy was not singnificantly correlated with sex, type of diabetes or glucose level, but signficantly correlated with protein level in urine. The results suggested that the key to preventing patients from blindness was control of blood glucose and blood pressure;and that,if necessary,photocoagulation with an argon laser and/ or pars plana vitrectomy might be performed on patients with diabetic retinopathy,which could be beneficial to those patients.

关 键 词：糖尿病 视网膜病变 临床分析 

分 类 号：R587.2[医药卫生—内分泌] R774.12[医药卫生—内科学]