空腹血糖受损合并高血压患者高血压视网膜病变伴随状况及特征分析  

Risk factors and characteristics of hypertensive retinopathy in impaired fasting glucose patients with hypertension

作　　者：张莉[1] 孔艳[1] 孙宪乾[1] 胡云衢[1] 蒋升[2] 

机构地区：[1]武警新疆总队医院眼科,乌鲁木齐市830000 [2]新疆医科大学第一附属医院内分泌科,乌鲁木齐市830011

出　　处：《中华实用诊断与治疗杂志》2010年第11期1077-1079,共3页Journal of Chinese Practical Diagnosis and Therapy

基　　金：新疆维吾尔自治区自然科学基金项目(200421124)

摘　　要：目的:探讨空腹血糖受损合并高血压患者高血压视网膜病变伴随状况及相关危险因素。方法:对85例>40岁空腹血糖受损合并高血压患者中高血压视网膜病变的发病率及其相关危险因素进行分析。结果:高血压视网膜病变患病率为82.35%,男性(76.19%)与女性(88.37%)患病率比较差异无统计学意义(P=0.141),随年龄增长和高血压病程延长,高血压视网膜病变患病率明显增加。Logistic回归分析结果显示,高血压视网膜病变的危险因素为年龄、高血压病程和高总胆固醇。结论:空腹血糖受损合并高血压患者可控危险因素主要是血脂代谢紊乱。Objective To study the risk factors and characteristics of hypertensive retinopathy in impaired fasting glucose patients with hypertension.Methods The incidence and risk factors for hypertensive retinopathy were analyzed in 85 patients with impaired fasting glucose patients and hypertension were analyzed.Results The incidence of hypertensive retinopathy in impaired fasting glucose patients with hypertension was 82.35%,and there was no significant difference between females（88.37%） and males（76.19%）（P=0.141）.The incidence of hypertensive retinopathy increased with the increase of age and the course of hypertension.Logistic regression analysis revealed that the age,the course of hypertension,and high total cholesterol were risk factors for hypertensive retinopathy in impaired fasting glucose patients with hypertension.Conclusion Lipid metabolic disorder is the main risk factor that can be controlled in impaired fasting glucose patients with hypertension.

关 键 词：视网膜病变 高血压 空腹血糖受损 

分 类 号：R587.1[医药卫生—内分泌]