2型糖尿病视网膜病变危险因素分析  

The risk factors for type 2 diabetic retinopathy

作　　者：王国平[1] 叶华英[1] 梁小琼[1] 张茹[1] 

机构地区：[1]武警四川总队医院眼科,中国四川省乐山市614000

出　　处：《国际眼科杂志》2013年第5期1017-1019,共3页International Eye Science

摘　　要：目的:探讨2型糖尿病视网膜病变(diabetic retinopathy,DR)进程的有关危险因素。方法:对125例2型糖尿病视网膜病变患者的眼底表现、病程、血压、糖化血红蛋白(HbA1c)、血脂、C肽、尿微量白蛋白、吸烟、打鼾及腰/臀比等进行分析。结果:糖尿病视网膜病变严重程度与病程、糖化血红蛋白(HbA1c)、血脂、尿微量白蛋白、吸烟、打鼾及腰/臀比呈正相关。结论:病程长、糖代谢和脂代谢紊乱、吸烟及打鼾是2型糖尿病视网膜病变的危险因素。尿微量白蛋白含量可以间接反映糖尿病视网膜病变病情程度。AIM= To explore the risk factors for type 2 diabetic retinopathy （DR） process. METHODS= Totally 125 patients with type 2 DR were selected. The fundus performance, course of disease, blood pressure, glycated hemoglobin （ HbAlc）, lipids, C peptide, urine microalbumin, smoking, snoring and waist/hip ratio were analyzed. RESULTS=DR severity and duration of disease, HbAlc, lipids, urine microalbumin, smoking, snoring and waist/hip ratio were positively correlated. CONCLUSION： Longer duration, glucose metabolism and lipid metabolism disorders, smoking and snoring are risk factors for type 2 DR. Urinary albumin content can indirectly reflect DR severity.

关 键 词：2型糖尿病 糖尿病视网膜病变 危险因素 

分 类 号：R774.1[医药卫生—眼科] R587.1[医药卫生—临床医学]