2型糖尿病患者白内障术后黄斑水肿相关因素分析  

Analysis on Related Factors of Macular Edema after Cataract Surgery in Type 2 Diabetic Patients

作　　者：马爽 杨炜[1] 赵新荣[1] Ma Shuang;Yang Wei;Zhao Xin-rong(The First Affiliated Hospital of Shihezi University School of Medicine,Shihezi 832000,Xinjiang Uygur Autonomous Region,China)

机构地区：[1]石河子大学医学院第一附属医院,新疆石河子832000

出　　处：《中国社区医师》2022年第5期54-56,共3页Chinese Community Doctors

摘　　要：目的:探讨2型糖尿病患者白内障术后发生黄斑水肿(ME)的相关因素。方法:选取2017年6月-2020年6月行白内障超声乳化联合折叠式人工晶体植入术(PHACO+IOL)的2型糖尿病患者226例(226只眼);收集患者临床资料,分析术后发生ME的相关因素。结果:患者性别、体重指数(BMI)、术前空腹血糖与术后发生ME无关,差异无统计学意义(P>0.05);是否有高脂血症、是否有高血压、是否有糖尿病视网膜病变、是否有胰岛素治疗、年龄、糖尿病病程、糖化血红蛋白是术后发生ME的相关影响因素,差异有统计学意义(P<0.05)。合并糖尿病视网膜病变、合并高血压、合并高脂血症、糖尿病病程长、糖化血红蛋白>7%是术后发生ME的独立危险因素(P<0.05)。结论:合并糖尿病视网膜病变、合并高血压、合并高脂血症、病程长、糖化血红蛋白高于7%是术后发生ME的独立危险因素。Objective:To explore the related factors of macular edema(ME)in patients with type 2 diabetes after cataract surgery.Methods:From June 2017 to June 2020,226 T2DM patients(226 eyes)who underwent phacoemulsification combined with foldable intraocular lens implantation(PHACO+IOL)were selected.The clinical data of patients were collected and the related factors of postoperative ME were analyzed.Results:The patient's gender,body mass index(BMI),preoperative fasting blood glucose were not related to the occurrence of postoperative ME,the differences were not statistically significant(P>0.05).Whether there was hyperlipidemia,whether there was hypertension,whether there was diabetic retinopathy,whether there was insulin treatment,age,diabetes duration,glycosylated hemoglobin were related factors of postoperative ME,the differences were statistically significant(P<0.05).Combined diabetic retinopathy,combined hypertension,combined hyperlipidemia,long course of diabetes,glycosylated hemoglobin>7%were independent risk factors for postoperative ME(P<0.05).Conclusion:Combined diabetic retinopathy,combined hypertension,combined hyperlipidemia,long course of disease,glycosylated hemoglobin higher than 7%are independent risk factors for postoperative ME.

关 键 词：2型糖尿病 白内障超声乳化术后 黄斑水肿 糖尿病视网膜病变 

分 类 号：R587.2[医药卫生—内分泌] R779.66[医药卫生—内科学]