湖南地区汉族人群糖尿病视网膜病变危险因素的相关性  

Correlation of risk factors of diabetic retinopathy in Han population in Hunan

作　　者：胡蓉 李俊杰[1] 杨劲松[1] HU Rong;LI Junjie;YANG Jinsong(Department of Ophthalmology,Hunan Provincial People’s hospital(First-Affiliated Hospital of Hunan Normal University),Changsha 410021,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)眼科,长沙410021

出　　处：《眼科学报》2021年第7期509-516,共8页Eye Science

基　　金：仁术基金(RS201919)。

摘　　要：目的:分析湖南地区汉族人群中2型糖尿病患者的人口学特征及生化指标,寻找糖尿病视网膜病变的高危因素。方法:采用病例对照研究,统计湖南地区正常人群、2型糖尿病但无视网膜病变患者、2型糖尿病视网膜病变患者的人口学特征及生化指标的相关数据,进行成组t检验及logistic回归分析,探讨分析糖尿病视网膜病发生的易感因素。所有研究对象均为汉族。结果:对照组[非糖尿病(non-diabetes mellitus,NDM)组]和2型糖尿病未合并视网膜病变[(non-diabetic retinopathy,NDR)]组之间性别分布、年龄分布、BMI、舒张压、HbA1c、总胆固醇、高密度脂蛋白(high-density lipoprotein,HDL)、尿酸及总胆红素差异无统计学意义(均P>0.05)。NDM组中腹围、收缩压、空腹血糖、三酰甘油、肌酐和低密度脂蛋白(low-density lipoprotein,LDL)值均低于NDR组,差异有统计学意义(均P<0.05)。NDM组中BMI、腹围、收缩压、舒张压、空腹血糖、HbA1c、总胆固醇、三酰甘油、肌酐和LDL值均低于2型糖尿病合并视网膜病变组(diabetic retinopathy,DR)组,差异有统计学意义(均P<0.05)。NDR组收缩压、舒张压、HbA1c、总胆固醇、三酰甘油和肌酐值均低于DR组,差异有统计学意义(均P<0.05)。结论:收缩压超过150 mmHg,舒张压超过90 mmHg,糖化血红蛋白超过9%,血清肌酐超过100 μmol/L,三酰甘油超过3 mmol/L均为糖尿病患者发生视网膜病变的高危易感因素。Objective:To analyze the demographic characteristics and biochemical indexes of type 2 diabetic patients in Han population in Hunan,and to find the high-risk factors of diabetic retinopathy.Methods:The data of demographic characteristics and biochemical indexes of normal population,type 2 diabetic patients but without retinopathy and type 2 diabetic retinopathy in Hunan were analyzed.Group t test and logistic regression analysis were used to analyze the susceptibility factors of diabetic retinopathy.All the subjects were Han population.Results:There were no significant differences in gender distribution,age distribution,BMI,diastolic blood pressure,HbA1c,total cholesterol,high-density lipoprotein,uric acid and total bilirubin between the control group[non-diabetes mellitus(NDM)group]and the type 2 diabetic without retinopathy group[non-diabetic retinopathy(NDR)group](all P>0.05).The abdominal circumference,systolic blood pressure,fasting blood glucose,triglyceride,creatinine and low-density lipoprotein in NDM group were all lower than those in NDR group,and the differences were statistically significant(all P<0.05).BMI,abdominal circumference,systolic blood pressure,diastolic blood pressure,fasting blood glucose,HbA1c,total cholesterol,triglyceride,creatinine and LDL in NDM group were all lower than those in type 2 diabetic retinopathy(DR)group,and the differences were statistically significant(all P<0.05).The comparison between the NDR group and the DR group showed that the values of systolic blood pressure,diastolic blood pressure,HbA1c,total cholesterol,triglyceride and creatinine in the NDR group were all lower than those in the DR group,and the differences were statistically significant(all P<0.05).Conclusion:SBP≥150 mmHg,DBP≥90 mmHg,HbA1c≥9%,serum creatinine≥100μmol/L,triglyceride≥3 mmol/L are the high-risk factors of diabetic retinopathy.

关 键 词：糖尿病视网膜病变 危险因素 全身疾病 预防 

分 类 号：R587.2[医药卫生—内分泌] R774.1[医药卫生—内科学]