上海市闵行区2型糖尿病患者糖尿病视网膜病变患病率及相关危险因素分析  

The Investigation of Risk Factors of Diabetic Retinopathy in Type 2 Diabetes Mellitus in Minhang, Shanghai

作　　者：王伟杰[1] 刘奕男[1] 严玉洁[1] 姚保栋[1] 周凡[1] 郦伦强[1] 

机构地区：[1]上海市闵行区疾病预防控制中心,上海201101

出　　处：《中国初级卫生保健》2015年第8期66-68,共3页Chinese Primary Health Care

基　　金：上海市第二轮区县优秀眼病防治人才培养计划(XBR 2013109-YF 01)

摘　　要：目的 了解闵行区管理的2型糖尿病患者糖尿病视网膜病变（DR）患病率及相关危险因素。方法 采用单纯随机抽样方法,在闵行区管理的2型糖尿病患者中抽取2 340例,收集患者一般资料、体格检查和血液指标检查结果,了解DR患病率,运用单因素分析和非条件Logistic回归分析探讨DR的影响因素。结果 闵行区管理的2型糖尿病患者DR患病率为34.20%。糖尿病病程、糖化血红蛋白（Hb A1c）是DR的危险因素,OR（95%CI）分别为1.048（1.030~1.067）、1.138（1.077~1.202）;糖尿病病程、尿微量白蛋白是PDR的危险因素,OR（95%CI）分别为1.043（1.010~1.057）、1.005（1.001~1.009）。结论应进一步开展糖尿病患者的日常随访管理,尤其是要加强血糖监控,开展管理效果评估,真正将各项防控措施落到实处。OBJECTIVE To investigate the prevalence and risk factors of diabetic retinopathy in type 2 diabetes mellitus in Minhang District. METHODS 2 340 type 2 diabetic patients in the Minhang District Diabetes Management Program were enrolled in this study. The general conditions, physical examination and lab examination were surveyed. Then analyzed the prevalence of diabetic retinopathy and the risk factors by single factor analysis and logistic regression analysis. RESULTS The prevalence of DR was 34.20%. Diabetes duration and glycosylated hemoglobin were risk factors for DR, ORs （95%CIs）were 1.048 （1.030 - 1.067）andl. 138 （1.077 - 1.202）. Diabetes duration and urinary microalbumin were risk factors for PDR, ORs （95%Cis） were 1.043 （1.010- 1.057） and 1.005 （1.001 - 1.009）. CONCLUSIONS Community doctors should carry out further routine follow-up management of diabetic patients. In particular, it should strengthen the monitoring of blood glucoseand carry out management effectiveness assessment to really implement the prevention and control measures.

关 键 词：糖尿病视网膜病变 患病率 危险因素 闵行区 

分 类 号：R195.4[医药卫生—卫生统计学]