Ⅱ型糖尿病患者糖尿病视网膜病变患病率的调查分析  

Investigation on the Incidence of Diabetic Retinopathy in Type 2 Diabetic Patients

作　　者：贾丽丽[1] 吴强[1] 尹茶仙[1] 陆斌[1] 戴友林[1] 杨冠[1] 包玉倩[2] 

机构地区：[1]上海交通大学医学院附属第六人民医院眼科,200233 [2]上海交通大学医学院附属第六人民医院内分泌科,200233

出　　处：《中国眼耳鼻喉科杂志》2006年第4期226-228,共3页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的调查Ⅱ型糖尿病患者中糖尿病视网膜病变的患病率。方法对3055例Ⅱ型糖尿病患者进行眼部检查:包括视力、裂隙灯、眼压、散瞳孔查眼底、眼底摄片等,部分患者进行眼底荧光血管造影检查,并检测血糖、糖化血红蛋白。根据新的国际临床分级标准诊断,计算糖尿病视网膜病变患病率;并分析病程、糖化血红蛋白对患病率的影响。结果在3055例Ⅱ型糖尿病患者中经眼底镜、眼底摄片和眼底荧光血管造影检查,确诊有糖尿病视网膜病变的705例,占23.08%。其中非增生性 DR 者579例,占18.95%,增生性 DR 者126例,占4.13%;随着病程的延长其发病率显著增高;糖化血红蛋白浓度与发病率亦呈显著相关。结论Ⅱ型糖尿病患者就诊时,糖尿病视网膜病变患病率已较高。糖尿病视网膜病变患病率随糖尿病病程的延长而增加,且与糖化血红蛋白浓度呈正相关。早期及定期对糖尿病患者进行筛查为及时发现病变、把握治疗时机从而降低糖尿病视网膜病变致盲率的唯一有效方法。Purpose To investigate the incidence of diabetic retinopathy（DR） in patients with type 2 diabetes mellitus（DM）. Methods According to WHO criteria of DM, 3 055 patients with type 2 DM were examed in our hospital, including eyesight, fasting blood glucose, glycesylated hemoglobin, ophthalmology examination, and recorded duration of DM. According to the criteria of DR, diagnosis and statistics of DR were made and the relationship between the incidence of DR and duration, HbAlc were analyzed. Results Seven hundred and five cases with DR were diagnosed in 3 055 patients with type 2 DM, the incidence of DR was 23.08%. The incidence of nonproliferative and proliferative DR was 18.95% and 4.13%, respectively. Longer the duration of DM, higher the incidence of DR. The incidence of DR were significantly related to HbAlc. Conclusion For early diagnosis and management of DR, the patient with DM should be examed regularly. It is the only way that decreases the rate of blindness of DR. （Chin J Ophthalmol and Otorhinolaryngology,2006,6：226- 228）

关 键 词：糖尿病 糖尿病视网膜病变 患病率 糖化血红蛋白 病程 

分 类 号：R587.2[医药卫生—内分泌] R587.1[医药卫生—内科学]