新诊断2型糖尿病视网膜病变与周围神经病变的相关危险因素分析  

Related Risk Factors between Diabetic Retinopathy and Diabetic Peripheral Neuropathy in Newly Diagnosed Type 2 Diabetes Mellitus

作　　者：方敏[1] 余韵[2] 欧阳正隆 刘丹[2] 王梅[2] 

机构地区：[1]深圳市眼科医院//深圳市眼科学重点实验室//深圳市眼外伤治疗与干细胞定向分化公共服务平台//暨南大学附属深圳眼科医院,广东深圳518000 [2]中山大学孙逸仙纪念医院眼科,广东广州510120

出　　处：《中山大学学报（医学科学版）》2017年第2期315-320,共6页Journal of Sun Yat-Sen University:Medical Sciences

摘　　要：【目的】分析新诊断2型糖尿病患者的糖尿病视网膜病变(DR)与糖尿病周围神经病变(DPN)的发病特点及其相关危险因素与2种微血管病变之间的关联性。【方法】回顾性分析2009-2012年期间新诊断的共211例2型糖尿病患者的住院资料,并对DR与DPN进行患病特点、发病危险因素与2种微血管病变的关联性的分析。【结果】新诊断2型糖尿病的患者中DPN的患病率(33.6%)高于DR(12.3%),2种微血管病变可共同存在,且DR与DPN存在关联(r=0.158,P=0.020)。单因素分析显示年龄、收缩压为2种微血管病变的共同相关危险因素。【结论】在新诊断2型糖尿病时,在各年龄段均应注意同时筛查DR与DPN,在控制血糖的同时,控制收缩压将有利于DR与DPN的共同防治。【Objective】To analyze the clinical features and related risk factors in diabetic retinopathy（DR）and diabetic peripheral neuropathy（DPN）,the two micro-peripheral vascular diseases in newly diagnosed type 2 diabetes mellitus.【Methods】A retrospective study of 211 cases of newly diagnosed type 2 diabetes mellitus inpatient from 2009 to 2012,and compare the two microperipheral vascular complications.【Results】The morbidity of DPN was（33.6%）,which was higher than that of DR,some cases of DR co-existed with DPN,DR was related with DPN（r = 0.158,P = 0.020）.Age and systolic blood pressure were the common risk factors in DR and DPN by single factor analysis.【Conclusion】It should be paid attention to the screening of both DR and DPN in each age group in newly diagnosed type 2 diabetes mellitus.Except for the control of blood glucose,the control of the systolic blood pressure is important in the prevention and treatment in the two micro-peripheral vascular diseases.

关 键 词：糖尿病视网膜病变 糖尿病周围神经病变 2型糖尿病 

分 类 号：R775.2[医药卫生—眼科]