社区2型糖尿病患者视网膜病变与尿微量蛋白相关性研究  

Correlation research between community type 2 diabetic retinopathy and urinary microalbumin

作　　者：宋建玲 叶征 刘瑶 韩竹梅 戴书雯 SONG Jianling;YE Zheng;LIU Yao;HAN Zhumei;DAI Shuwen(General Practice Department of Changfen Community Health Service Center of Putuo District,Shanghai 200062,China;Prevention and Health Care Department of Changfeng of Putuo District,Shanghai 200062,China;General Practice Department of Zhongshan Hospital Affiliated to Fudan University 200032,China)

机构地区：[1]上海市普陀区长风街道长风社区卫生服务中心全科,上海200062 [2]上海市普陀区长风街道长风社区卫生服务中心防保科,上海200062 [3]复旦大学附属中山医院全科医学科,上海200032

出　　处：《上海医药》2024年第24期29-31,共3页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市普陀区卫生健康系统科技创新项目(ptkwws 202130)。

摘　　要：目的 :探讨社区2型糖尿病患者视网膜病变(DR)与尿微量蛋白(mAlb)的相关性。方法 :选取2015年12月至2018年12月收治的2型糖尿病患者150例,依据蛋白尿水平分为微量组50例和正常组100例,统计分析所有患者尿蛋白、视力、DR情况。结果 :微量组蛋白尿、DR发生率明显高于正常组,视力明显低于正常组,差异有统计学意义(P <0.05)。Pearson相关性分析显示,尿蛋白与视力呈负相关(r=-0.684,P <0.05)。结论 :DR的发生与糖尿病患者mAlb有关,mAlb水平可能与视力变化密切相关。Objective:To discuss the correlation between community type 2 diabetic retinopathy(DR)and urinary microalbumin(mAlb).Methods:One hundred and fifty patients with type 2 diabetes were selected from December 2015 to December 2018,according to albuminuria levels were divided into a trace group with 50 cases and a normal group with 100 cases,and urinary protein,vision and DR of all the patients were statistically analyzed.Results:The urinary protein,and DR incidence rate in the trace group were obviously higher than those in the normal group,the vision in the trace group was obviously lower than that in the normal group,and the difference was statistically significant(P<0.05).The results of Pearson correlation analysis showed that the urinary protein was negatively correlated with the vision(r=-0.684,P<0.05).Conclusion:DR incidence is associated with mAlb in patients with diabetes,and mAlb level may be closely related to the change of vision.

关 键 词：2型糖尿病视网膜病变 糖尿病 尿微量蛋白 视力 社区管理 

分 类 号：R587.2[医药卫生—内分泌]