2型糖尿病并高血压患者脉压差与视网膜病变的相关性  

Relationship between pulse pressure and retinopathy in type 2 diabetes mellitus patients with hypertension

作　　者：段琦[1] 尹洁[1] 洪旭[1] 

机构地区：[1]首都医科大学附属北京友谊医院内分泌科,北京市100050

出　　处：《中华实用诊断与治疗杂志》2013年第1期38-39,共2页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的探讨2型糖尿病并高血压患者脉压差与糖尿病视网膜病变(diabetic retinopathy,DR)的关系及其临床意义。方法 188例2型糖尿病患者分为糖尿病无DR组(NDR组)78例、单纯型DR组(SDR组)61例、增殖型DR组(PDR组)49例,计算3组脉压差并进行比较分析。结果 PDR组、SDR组、NDR组脉压差分别为(70.9±10.1),(67.2±11.3),(52.9±4.5)mm Hg,3组比较差异有统计学意义(P<0.05)。结论脉压差增高可加重2型糖尿病并高血压患者DR病情。Objective To investigate the relationship between pulse pressure and retinopathy in type 2 diabetic patients with hypertension and its clinical significance. Methods A total of 188 type 2 diabetes mellitus patients with hypertension were divided into NDR group （patients without retinopathy, n = 78）, SDR group （patients with simple diabetic retinopathy, n=61） and PDR group （patients with proliferative diabetic retinopathy, n：49）. The pulse pressure was calculated and compared. Results The pulse pressure was （70.9±10. 1）, （67. 2±11. 3） and （52. 9±4.5） mm Hg in PDR, ADR and NDR groups, which showed significant differences among three groups（P〈0.05）. Couelusion Increase of pulse pressure may accelerate retinopathy in patients with type 2 diabetic mellitus.

关 键 词：2型糖尿病 脉压差 糖尿病视网膜病变 

分 类 号：R587.1[医药卫生—内分泌]