住院糖尿病人视网膜病变发生率调查及其危险因素分析  

The investigation of prevalence and risk factors of diabetic retinopathy in in-patients with type 2 diabetes mellitus in Jinan city

作　　者：王玉[1] 范传峰[1] 舒相汶[1] 张华[1] 盛艳娟[1] 吴昌龙[1] 谭瑞礼[1] 张同河[1] 

机构地区：[1]济南市第二人民医院眼科,济南250001

出　　处：《中国实用眼科杂志》2009年第9期1045-1047,共3页Chinese Journal of Practical Ophthalmology

基　　金：济南科学技术局科技计划资助（061035）

摘　　要：目的调查济南市住院糖尿病患者中糖尿病视网膜病变的发生率，对其相关的危险因素进行分析。方法对济南市多家医院的250例住院糖尿病患者进行问卷调查、实验室检查、眼部检查等，并按照国际最新糖尿病视网膜病变分期标准对调查资料进行分析。结果住院糖尿病患者中糖尿病视网膜病变的发生率为56．4％，其中增殖性糖尿病视网膜病变占10．8％。多因素分析显示其危险因素为高血脂、肾损害、高血压、高糖化血红蛋白和糖尿病病程。结论济南市住院糖尿病人中糖尿病视网膜病变的发生率较高。应加强对糖尿病病程较长、已出现早期肾损害的患者的随访和治疗，除控制好血糖外，还应重视对其血脂、血压的控制。Objective To study clinical epidemiology of diabetic retinopathy in-patients with type 2 diabetes mellitus in Jinan city and analyze its related factors.Methods A total of 250 diabetics were investigated in detail by filling informs, ocular examination including ophthalmoscopy and physical examination and laboratory testing.These cases were divided into 2 groups according to their diabetic retinopathy.The relations between diabetic retinopathy and various parameters in two groups were observed and analyzed by statistical methods.Results The prevalence of diabetic retinopathy was 56.4%, and proliferative diabetic retinopathy was 10.8 % .Duration of diabetes, HbA 1 C, hypertension, hyperlipidemia and early renal damage were the risk factors for diabetic retinopathy.Conclusions The prevalence of diabetic retinopathy was higher in Jinan city. The ocular examination should be strengthened in the patients with longer duration of diabetes or early renal damage. To prevent or reduce the occurrence of diabetic retinopathy, blood pressure, blood glucose and blood lipid should be under good control.

关 键 词：糖尿病视网膜病变 流行病学 患病率 危险因素 

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