中华眼底病杂志
中華眼底病雜誌
중화안저병잡지
CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
2010年
2期
105-108
,共4页
黄晓波%邹海东%王宁%王伟伟%傅炯%沈彬杰%谢田华%陈轶卉%许迅%张皙
黃曉波%鄒海東%王寧%王偉偉%傅炯%瀋彬傑%謝田華%陳軼卉%許迅%張皙
황효파%추해동%왕저%왕위위%부형%침빈걸%사전화%진질훼%허신%장석
糖尿病视网膜病变/流行病学%糖尿病视网膜病变/诊断%流行病学方法
糖尿病視網膜病變/流行病學%糖尿病視網膜病變/診斷%流行病學方法
당뇨병시망막병변/류행병학%당뇨병시망막병변/진단%류행병학방법
Diabetic retinopathy/epidemiology%Diabetic retinopathy/diagnosis%Epidemiologic methods
目的 调查60岁及其以上糖尿病患病居民糖尿病视网膜病变(DR)患病情况和影响因素,并与2003年在同区域开展的DR调查结果进行比较分析.方法 2007年11月至2008年4月在上海市北新泾街道开展人群普查.对≥60岁糖尿病居民进行全身、视力、裂隙灯显微镜、直接和(或)间接检眼镜检查,免散瞳数字眼底照相机拍摄后极部45°范围内2个不同区域内的照片.采用多人分别独立读片的方式,根据2002年国际DR分型标准确立DR的诊断.在曾进入2003年流行病学调查的≥60岁糖尿病居民中随访到254例,将本次调查情况与前次调查结果进行对比.采用卡方检验统计分析与患病率相关的影响因素,通过逐步回归分析筛选出独立影响因素.结果 实际受检人数483例,受检率为91.30%.其中,DR患者121例,患病率为25.05%.非增生型DR和增生型DR的患病率分别为22.36%和2.69%.糖尿病病程是影响糖尿病患者DR患病率的独立因素.未发现影响非增生型DR和增生型DR构成比差异的因素.参加前后2次调查的254例糖尿病居民DR程度稳定或改善的比例达到92.52%.结论 ≥60岁糖尿病居民中DR患病率高;已在该社区开展的DR防盲措施已初显成效.
目的 調查60歲及其以上糖尿病患病居民糖尿病視網膜病變(DR)患病情況和影響因素,併與2003年在同區域開展的DR調查結果進行比較分析.方法 2007年11月至2008年4月在上海市北新涇街道開展人群普查.對≥60歲糖尿病居民進行全身、視力、裂隙燈顯微鏡、直接和(或)間接檢眼鏡檢查,免散瞳數字眼底照相機拍攝後極部45°範圍內2箇不同區域內的照片.採用多人分彆獨立讀片的方式,根據2002年國際DR分型標準確立DR的診斷.在曾進入2003年流行病學調查的≥60歲糖尿病居民中隨訪到254例,將本次調查情況與前次調查結果進行對比.採用卡方檢驗統計分析與患病率相關的影響因素,通過逐步迴歸分析篩選齣獨立影響因素.結果 實際受檢人數483例,受檢率為91.30%.其中,DR患者121例,患病率為25.05%.非增生型DR和增生型DR的患病率分彆為22.36%和2.69%.糖尿病病程是影響糖尿病患者DR患病率的獨立因素.未髮現影響非增生型DR和增生型DR構成比差異的因素.參加前後2次調查的254例糖尿病居民DR程度穩定或改善的比例達到92.52%.結論 ≥60歲糖尿病居民中DR患病率高;已在該社區開展的DR防盲措施已初顯成效.
목적 조사60세급기이상당뇨병환병거민당뇨병시망막병변(DR)환병정황화영향인소,병여2003년재동구역개전적DR조사결과진행비교분석.방법 2007년11월지2008년4월재상해시북신경가도개전인군보사.대≥60세당뇨병거민진행전신、시력、렬극등현미경、직접화(혹)간접검안경검사,면산동수자안저조상궤박섭후겁부45°범위내2개불동구역내적조편.채용다인분별독립독편적방식,근거2002년국제DR분형표준학립DR적진단.재증진입2003년류행병학조사적≥60세당뇨병거민중수방도254례,장본차조사정황여전차조사결과진행대비.채용잡방검험통계분석여환병솔상관적영향인소,통과축보회귀분석사선출독립영향인소.결과 실제수검인수483례,수검솔위91.30%.기중,DR환자121례,환병솔위25.05%.비증생형DR화증생형DR적환병솔분별위22.36%화2.69%.당뇨병병정시영향당뇨병환자DR환병솔적독립인소.미발현영향비증생형DR화증생형DR구성비차이적인소.삼가전후2차조사적254례당뇨병거민DR정도은정혹개선적비례체도92.52%.결론 ≥60세당뇨병거민중DR환병솔고;이재해사구개전적DR방맹조시이초현성효.
Objective To estimate the prevalence of diabetic retinopathy (DR) in residents at the age of ≥ 60 years in Beixinjing blocks, Shanghai, and to analyze the changes and risk factors of the occurrence of DR while comparing with the previous epidemiology study in the same blocks in 2003. Methods With the help of an established resident health data, a epidemiology study was performed on all of the old residents (≥ 60 years old) with diabetes mellitus from November 2007 to April 2008. The epidemiology data included resident common information, health check, examination of visual acuity, slit-lamp biomieroscopy, direct ophthalmoscopy, and photography of 2 pictures covering 450 posterior ocular fundus area acquired by digital non-mydriasis fundus camera. The diagnosis of DR was drawn according to the international DR classification (2002). The DR grade was compared in 254 residents who were involved in both of the two epidemiology studies in 2003 and 2007. Chi-square method was used to analyze the risk factors of DR and stepwise logistic analysis was used for identifying the independent factors. Results A total of 483 diabetic residents was included in this study with the inclusion rate of 91.30%, in whom 121 DR patients was found with the DR prevalence of 25.05%. The prevalence of non-proliferative DR and proliferative DR was 22. 36% and 2. 69%, respectively. The duration of diabetes was confirmed as the independent risk factor of DR prevalence, and no risk factor was found to affect the different ratio of non-proliferative and proliferative DR. Comparing to the results of the study in 2003, the DR grade remained steadily or decreased in 92.52% of the 254 diabetes residents. Conclusion The prevalence of DR is high in the diabetic residents at the age of ≥60 years. The intervention work of DR prevention in Beixinjing blocks is effective.
