2型糖尿病患者糖尿病视网膜病变患病率及糖化血红蛋白认知水平的调查  

Prevalence of diabetic retinopathy and knowledge of HbA1c in patients with type 2 diabetes

作　　者：舒毅[1] 陈幼萍[1] 邵东平[1] 唐杰龙[1] 曾春平[1] 罗少荘[1] 罗海钊[1] 李惠贤[1] 

机构地区：[1]南方医科大学附属广东南海人民医院内分泌科,广东佛山528200

出　　处：《吉林医学》2017年第6期1049-1051,共3页Jilin Medical Journal

摘　　要：目的:调查2型糖尿病患者糖尿病视网膜病变(DR)的患病率及糖化血红蛋白的认知水平,探讨两者之间的关系。方法:选取220例2型糖尿病患者进行免散瞳眼底照相,收集患者临床资料,同时测定空腹血糖(FBG)和糖化血红蛋白(HbA1c)。问卷调查患者的文化程度、对HbA1c的认知情况、近一年来是否进行HbA1c及眼底检查。按免散瞳眼底摄片结果将患者分为无明显糖尿病视网膜病变组(NDR)和糖尿病视网膜病变组(DR),分别对两组进行临床特征和糖化血红蛋白认知水平的比较分析。结果:220例患者中DR的患病率为32.7%、27.7%,患者HbA1c认知水平良好,随着年龄层次的降低及文化程度的提高,HbA1c认知水平有逐渐增加的趋势(P<0.05)。近一年来,56.8%的患者未检查HbA1c,85.0%的患者未检查眼底。与NDR组比较,DR组年龄、DM病程、FBG、和HbA1c差异有统计学意义(P<0.05),合并高血压病更多,文化程度更低(P<0.05)。DR组的HbA1c认知水平、近一年来进行HbA1c检查例数均显著低于NDR组(P<0.05)。结论:2型糖尿病住院患者DR患病率较高、筛查率低、HbA1c的认知水平低。提高糖尿病患者的自我管理能力,认识到HbA1c在血糖管理的重要性,定期眼底检查将有助于DR的早期防治。Objective To investigate the prevalence of diabetic retinopathy （DR） and the knowledge of HbAlc in patients with type 2 diabetes, and to explore the relationship between them. Method 220 inpatients with type 2 diabetes were enrolled in the trial. Non - mydriatic digital fundus photography were carried out for all patients, and the clinical characteristics including fasting blood glucose（FBG） and HbAlc were also determined. The education level, knowledge status of HbAlc, whether or not for HbAlc and fundus examination in the past year were collected through questionnaires. According to the results of fundus ex-amination inpatients were divided into two groups named as no diabetic retinopathy （NDR） group and diabetic retinopathy （DR） group. Comparison of clinical features and the knowledge level of HbAlc were performed in two groups. Results The DR preva-lence of 220 patients was 32.1%. The percentage of patients with good understanding of HbAlc was 27. 3% , and there was sig-nificantly greater awareness of HbAlc among patients with younger age and higher education （P 〈0. 05）. In the past year, pa-tients without HbAlc and fundus examination were 85. 0 % and 56. 8 % , respectively. Compared with NDR group, the age, dia-betes duration, FBG and HbAlc of the DR group were significantly different （P 〈0. 05） , and the morbidity of hypertension was higher and the education level was lower （P 〈0. 05）. In the DR group, the knowledge level of HbAlc and the number of HbAlc examination in the past year were significantly lower than those in NDR group （P 〈0. 05）. Conclusion The prevalence of DR in patients with type 2 diabetes was high, but the screening rate and the knowledge level of HbAlc are low. To improve the self - management ability of patients with diabetes, and realize the importance of HbAlc in blood glucose management, regular fundus examination will be helpful

关 键 词：糖尿病视网膜病变 患病率 糖化血红蛋白 认知水平 

分 类 号：R587.2[医药卫生—内分泌]