上海市嘉定区2型糖尿病患者视网膜病变筛查结果分析  

Analysis of Screening Results of Retinopathy in Type 2 Diabetic Patients in Jiading Distinct of Shanghai

作　　者：彭慧[1] 杨飞飞 薛俊磊 于宏杰[1] 季莹[1] 袁红[1] 彭谦[1] 王颖[2] Peng Hui;Yang Feifei;Xue Junlei;Yu Hongjie;Ji Ying;Yuan Hong;Peng Qian;Wang Ying(Jiading District Center for Disease Control and Prevention,Shanghai,201899,China)

机构地区：[1]上海市嘉定区疾病预防控制中心,上海201899 [2]复旦大学公共卫生学院,上海200032

出　　处：《中国初级卫生保健》2024年第4期40-43,共4页Chinese Primary Health Care

基　　金：上海市糖尿病眼病综合防治服务模式建立项目(GWIV3.3);上海市嘉定区公共卫生优秀人才培养计划——学科后备带头人项目。

摘　　要：目的:分析上海市嘉定区2型糖尿病患者的视网膜病变筛查结果及可能的影响因素。方法:2017年对嘉定区13家社区卫生服务中心的13184例2型糖尿病患者进行视网膜病变筛查,包括视力、电脑验光及眼底照相等。结果:嘉定区参加糖尿病视网膜病变筛查的患者共13184例,男性6233例,占47.28%,女性6951例,占52.72%;患者以60~69岁为主,占50.16%,其次分别为70~79岁、50~59岁、<50岁和≥80岁组,占比分别为24.83%、20.05%、2.49%和2.47%;共检出糖尿病视网膜病变患者2004例,检出率15.20%,男性15.58%,女性14.86%,不同性别检出率差异有统计学意义(χ^(2)=1.311,P=0.252);<50岁组检出率最高(17.99%),其次为50~59岁组(17.14%),≥80岁组最低(10.43%),较低年龄组患者检出率较高,不同年龄组检出率差异有统计学意义(χ^(2)=17.502,P<0.01)。糖尿病视网膜病变分期构成结果显示,2004例糖尿病视网膜病变患者中轻度非增殖期、中度非增殖期、重度非增殖期及增殖期病例数分别为927例、800例、251例和26例,占比分别为46.26%、39.92%、12.52%和1.30%。多因素分析结果显示,与≥80岁组比,<50岁、50~59岁及60~69岁糖尿病患者视网膜病变患病风险更大;合并白内障的患者糖尿病视网膜病变患病风险更大。结论:与≥80岁的糖尿病患者相比,<80岁糖尿病患者视网膜病变患病风险可能更大。OBJECTIVE To investigate the occurrence and influencing factors of Diabetic Retinopathy(DR)in diabetic residents in Jiading District,to provide reference for the management of diabetic patients in the future.METHODS DR examination was conducted in 13 communities of the jurisdiction for type 2 diabetes patients in 2017.Screening includes vision,computerized optometry and fundus photography,and follow-up screening will be carried out in 2021.RESULTS In 2017,13184 patients participated in screening for diabetic retinopathy in Jiading District,including 6233 males(47.28%)and 6951 females(52.72%).In terms of age distribution,the majority of participants were 60~69 years old,accounting for 50.16%,followed by 70~79 years old,50~59 years old,below 50 years old and 80 years old and above,accounting for 24.83%,20.05%,2.49%and 2.47%,respectively.A total of2004 patients with DR were detected by screening,the detection rate was 15.20%,male 15.58%,female 14.86%.The detection rate of<50 years old group was the highest(17.99%),followed by 50~59 years old group(17.14%),and≥80 years old group was the lowest(10.43%).The results of DR staging showed that 927,800,251 and 26 cases were in mild,moderate,severe and proliferative stages,accounting for 46.26%,39.92%,12.52%and 1.30%,respectively.The results of multiple factors showed that age and cataract were correlated with the incidence of DR disease.Compared with the age group≥80 years old,patients aged<50 years old,50~59 years old and 60~69 years old may have a greater risk of DR disease.Diabetic patients with cataracts may be at greater risk of developing DR.CONCLUSION Compared with the age group≥80 years old,patients aged<80 years old may have a greater risk of DR.

关 键 词：糖尿病 视网膜病变 筛查 患病率 

分 类 号：R774.1[医药卫生—眼科]