2型糖尿病患者视网膜病变危险因素及护理研究  

Study of risk factor of retinopathy in type 2 diabetes patients and its nursing

作　　者：杨伟球[1] 李剑波[2] 

机构地区：[1]浙江省舟山市中医骨伤联合医院,浙江舟山316000 [2]南京医科大学,江苏南京210029

出　　处：《中国医药导报》2014年第26期96-98,共3页China Medical Herald

基　　金：国家自然科学基金资助项目(编号81070655)

摘　　要：目的：分析2型糖尿病视网膜病变（DR）患者的危险因素及对此类患者的护理措施。方法选取2011年10月~2013年4月于浙江省舟山市中医骨伤联合医院治疗的2型糖尿病患者352例，其中，并发DR患者99例作为DR组，其余无DR患者253例作为NDR组，对DR的相关危险因素进行调查分析并总结护理方法。结果DR组患者99例，即DR的发病率为28.1%，糖尿病病程为（15.3±2.1）年，空腹血糖水平为（10.5±1.6）mmol/L，高血压比例达59.6%，均高于NDR组，差异均有统计学意义（P〈0.05）。多因素线性回归分析结果显示，DR的独立危险因素包括糖尿病病程（P=0.047）、空腹血糖（P=0.010）、高血压（P=0.002）及胰岛素治疗史（P=0.019）。结论糖尿病病程长、空腹血糖高、高血压等是DR的主要危险因素。Objective To analyze the risk factors of retinopathy in type 2 diabetes patients and the its nursing inter-vention. Methods 352 patients with diabetic retinopathy （DR） in Hoptial of Traditional Chinese Medicine Combination of Orthopaedics from October 2011 to April 2013 were divided into two groups, 99 cases of patients with DR were se-lected as DR group, the other 253 cases without DR were selected as NDR group. The related risk factors of diabetic retinopathy in type 2 diabetes patients were investigated and summarized the nursing method. Results There were 99 patients in DR group, the incidence of DR was 28.1%, the duration of diabetes was （15.3±2.1） years, the fasting plasma glucose was （10.5±1.6） mmol/L, the high blood pressure ratio was 59.6%, they were all higher than those in the NDR group, the differences were statistically significant （P〈0.05）. The multifactor linear regression analysis results showed that diabetes duration （P=0.047）, fasting blood glucose （P=0.010）, hypertension （P=0.002） and insulin treatment history （P=0.019） were independent risk factors of DR. Conclusion The long duration of diabetes, high fasting hyper-glycemia, hypertension are major risk factors of DR.

关 键 词：2型糖尿病 糖尿病视网膜病变 危险因素 

分 类 号：R473[医药卫生—护理学]