Ⅱ型糖尿病患者并发视网膜病变的临床分析(附304例报告)  

Analysis of the diabetic retinopathy in type diabetes (with 304 cases of reports)

作　　者：徐琪[1] 彭亚军[1] 陆健[1] 夏凤华[1] 韩丽荣[1] 沈炜[1] 

机构地区：[1]第二军医大学长海医院眼科

出　　处：《第二军医大学学报》1999年第7期477-479,共3页Academic Journal of Second Military Medical University

摘　　要：目的：探讨Ⅱ型糖尿病（ＮＩＤＤＭ）患者并发糖尿病性视网膜病变（ＤＲ）临床发病的规律及与各种发病因素的关系。方法：对３０４例ＮＩＤＤＭ患者进行病史调查、眼科检查及实验室检查，分类分析相关发病因素。结果：本组ＮＩＤＤＭ患者中ＤＲ总发生率为４０．８％，其中单纯型视网膜病变（ＢＤＲ）发生率高于增殖型视网膜病变（ＰＤＲ）；随着患者年龄的增长、病程的延长，以及伴发高血压和晶状体后囊下皮质混浊，ＢＤＲ和ＰＤＲ的发生率均随之增加。结论：长病程、高龄。Objective: To study the rules and the related risk factors of diabetic retinopathy(DR) in type diabetes mellitus(NIDDM). Methods: 304 cases of NIDDM were investigated in detail about history, blood pressure, lens, fundus, and laboratory data were abtained. The incidence of DR and risk factors were then analyzed. Results: The DR incidence was 40.8% in 304 NIDDM patients, the background diabetic retinopathy (BDR) incidence was higher than that of proliferative diabetic retinopathy (PDR). The incidence of BDR and PDR was in a positive propotion with the age of patients, the coarse of NIDDM and the presence of hypertension and posterion subcapsular cortical opacity of tens. Conclusion: Long course of NIDDM, old age of patient, presence of hypertension and posterior subcapsular cortical opacity of the lens are the important risk factors of DR for NIDDM.

关 键 词：糖尿病 视网膜病变 危险因素 Ⅱ型 

分 类 号：R587.2[医药卫生—内分泌] R774.120.2[医药卫生—内科学]