新诊断糖尿病患者视网膜病变患病率及危险因素研究  

Study on the prevalence of retinopathy in patients newly diagnosed with diabetes and its risk factors

作　　者：杨军[1] 万沁[1] 钟海花[1] 李华[1] 

机构地区：[1]泸州医学院附属医院内分泌科,四川泸州646000

出　　处：《实用糖尿病杂志》2016年第5期31-32,共2页Journal of Practical Diabetology

摘　　要：选取2013年6月-2015年12月在泸州医学院附属医院内分泌科住院的572例新诊断糖尿病患者,均进行免散瞳眼底摄片,按伴或不伴视网膜病变将患者分为糖尿病伴视网膜病变组(DR组)和不伴视网膜病变组(NDR组),比较两组患者在临床和生化指标上的差异,分析糖尿病视网膜病变发生的危险因素。结果:在572例患者中,61例(10.7%)患者合并视网膜病变。糖尿病合并视网膜组与不伴视网膜病变组相比,合并高血压比例更高(P<0.05),糖化血红蛋白、高甘油三酯水平更高(P<0.05)。不同年龄段新诊断糖尿病患者视网膜病变患病率比较,差异有统计学意义(P<0.05)。结论:年龄、高血糖、高血压、高甘油三酯水平是糖尿病视网膜病变发生的主要危险因素。Objective To explore and analyze the prevalence of retinopathy in inpatients newly diagnosed with diabetes mellitus and study the main factors causing retinopathy. Methods From June 2013 to December 2015, in the Affiliated hospital of Luzhou medical college, we collected the clinical epidemiological data of 572 inpatients newly diagnosed with diabetes. All pa- tients were divided into diabetic retinopathy group （DR group）and non diabetic retinopathy group （NDR group）according to ac- companiment of retinopathy or not. Compared the difference of clinical and biochemical index and analyzed the main factors cau- sing retinopathy. Results In 572 patients, 61 patients （ 10. 7% ） got the retinopathy. Compared to the NDR group, the DR group showed higher proportion of incidence of complicated with hypertension（ P 〈 0. 05 ）. The results of biochemical indicators demon- strated that the level of glycosylated hemoglobin and TG increased in the DR group（ P 〈 0.05 ）. There was difference in DR inci- dence between newly diagnosed with diabetes meUitus patients at different ages （P 〈 0. 05 ）. Conclusion Age, hypertension, hy- perglycemia and TG were the major risk factors of diabetic retinopathy.

关 键 词：糖尿病 糖尿病视网膜病变 患病率 危险因素 

分 类 号：R587.2[医药卫生—内分泌]