CAJ | 학술논문

目的调查济南市住院糖尿病患者中糖尿病视网膜病变的发生率,对其相关的危险因素进行分析.方法对济南市多家医院的250例住院糖尿病患者进行问卷调查、实验室检查、眼部检查等,并按照国际最新糖尿病视网膜病变分期标准对调查资料进行分析.结果住院糖尿病患者中糖尿病视网膜病变的发生率为56.4%,其中增殖性糖尿病视网膜病变占10.8%.多因素分析显示其危险因素为高血脂、肾损害、高血压、高糖化血红蛋白和糖尿病病程.结论济南市住院糖尿病人中糖尿病视网膜病变的发生率较高.应加强对糖尿病病程较长、已出现早期肾损害的患者的随访和治疗,除控制好血糖外,还应重视对其血脂、血压的控制.
목적 조사제남시주원당뇨병환자중당뇨병시망막병변적발생솔,대기상관적위험인소진행분석.방법 대제남시다가의원적250례주원당뇨병환자진행문권조사、실험실검사、안부검사등,병안조국제최신당뇨병시망막병변분기표준대조사자료진행분석.결과 주원당뇨병환자중당뇨병시망막병변적발생솔위56.4%,기중증식성당뇨병시망막병변점10.8%.다인소분석현시기위험인소위고혈지、신손해、고혈압、고당화혈홍단백화당뇨병병정.결론 제남시주원당뇨병인중당뇨병시망막병변적발생솔교고.응가강대당뇨병병정교장、이출현조기신손해적환자적수방화치료,제공제호혈당외,환응중시대기혈지、혈압적공제.
Objective To study clinical epidemioiogy of diabetic retinopathy in-patients with type 2 diabetes mellitus in Jinan city and analyze its related factors.Methods A total of 250 diabetics were investigated in detail by filling informs, ocular examination including ophthalmoscopy and physical examination and laboratory testing.These cases were divided into 2 groups according to their diabetic retinopathy.The relations between diabetic retinopathy and various parameters in two groups were observed and analyzed by statistical methods.Results The prevalence of diabetic retinopathy was 56.4%, and proliferative diabetic retinopathy was 10.8 %.Duration of diabetes, HbA1C, hypertension, hyperlipidemia and early renal damage were the risk factors for diabetic retinopathy.Conclusions The prevalence of diabetic retinopathy was higher in Jinan city. The ocular examination should be strengthened in the patients with longer duration of diabetes or early renal damage. To prevent or reduce the occurrence of diabetic retinopathy, blood pressure, blood glucose and blood lipid should be under good control.