基于体检中心的机会性糖尿病人群低视力现状探究  

Current status of low vision in a population with opportunistic diabetes based on a physical examination center

作　　者：刘珍容 张明[2] LIU Zhenrong;ZHANG Ming(Health Management Center,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Ophthalmology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院健康管理中心,成都610041 [2]四川大学华西医院眼科,成都610041

出　　处：《华西医学》2022年第5期738-742,共5页West China Medical Journal

基　　金：国家重点研发计划(2018YFC1106103)。

摘　　要：目的 调查基于体检中心的机会性糖尿病人群视力残疾的现状,并探究其相关因素。方法 选择2019年1月—2020年3月到四川大学华西医院(华西院区和温江院区)进行健康体检的糖尿病体检者。根据体检者的视力情况,将纳入体检者分为2组,糖尿病低视力体检者为观察组,糖尿病视力正常者为对照组(例数为观察组的2倍)。观察比较两组体检者相关资料,采用logistic回归分析导致其低视力的危险因素。结果 共纳入糖尿病体检者1 636例。其中,观察组158例,对照组316例。低视力158例(203眼),发生率为6.20%(203/3 272);导致低视力的主要疾病为白内障(92例,58.23%)、高度近视(32例,20.25%)、糖尿病视网膜病变(20例,12.66%)。Logistic回归分析显示,低视力的独立危险因素为糖尿病患者的年龄、糖尿病视网膜病变、收缩压、糖化血红蛋白。结论 成都地区基于体检中心的糖尿病人群低视力发生率较低。加强对高龄、有糖尿病视网膜病变、收缩压及糖化血红蛋白偏高的糖尿病患者的视力检查,进行早期有效的防治,可减少对视力的损伤。Objective To investigate the current status of visual disability in people with opportunistic diabetes based on the physical examination center,and explore its related factors.Methods People who went to West China Hospital of Sichuan University(West China Hospital district and Wenjiang hospital district) for physical examination between January 2019 and March 2020 were selected.The subjects were those who had a history of diabetes or fasting blood glucose≥7 mmol/L or glycosylated hemoglobin≥6.5%.They were divided into two groups according to visual acuity.The physical examinees with low vision were the observation group,and the physical examinees with normal vision were the control group(the number of cases was twice that of the observation group).The relevant data of the two groups were observed and compared,and the risk factors of low vision were analyzed by logistic regression.Results A total of1 636 physical examinees with diabetes were included.There were 158 cases in the observation group and 316 cases in the control group.158 cases(203 eyes) had low vision,and the incidence was 6.20%(203/3 272).The main diseases leading to low vision were cataract(92 cases,58.23%),high myopia(32 cases,20.25%) and diabetes retinopathy(20 cases,12.66%).Logistic regression analysis showed that the independent risk factors for low vision were age of diabetes patients,diabetes retinopathy,systolic blood pressure and glycosylated hemoglobin.Conclusions The incidence of low vision in diabetes population based on physical examination centers in Chengdu is low.Visual acuity examination should be strengthened for diabetes patients,especially the elderly,with diabetes retinopathy,high systolic blood pressure and glycosylated hemoglobin.Early effective prevention and treatment can reduce the damage to vision caused by diabetes.

关 键 词：糖尿病 低视力 体检 发病现状 危险因素 

分 类 号：R587.1[医药卫生—内分泌]