CAJ | 학술논문

目的：探讨2型糖尿病视网膜病变（diabetic retinopathy ，DR）的相关危险因素。方法：选择2012年10月-2013年8月行眼底检查的糖尿病患者253例，采用Logistic回归分析DR的相关危险因素。结果：253例糖尿病患者中，DR患者77例（30．43％），DR组与非DR组相比，年龄、病程、收缩压（systolic blood pressure ，SBP）、尿微量白蛋白（urine microalbumin ，U-MA）、U-MA与尿肌酐（urine creatinine ，UCr）比值的差异均有统计学意义（P＜0．05）。Logistic回归分析显示，糖尿病病程是DR的独立危险因素（OR＝1．191，P＜0．005）。77例DR患者中，单纯DR患者65例，增殖期DR患者12例，两组总胆固醇（total cholesterol ，TC）、U-MA、U-MA/UCr差异均有统计学意义（P＜0．05）。结论：DR与年龄、病程、SBP、U-MA、U-MA/UCr等因素有关，糖尿病病程是DR的独立危险因素。
목적：탐토2형당뇨병시망막병변（diabetic retinopathy ，DR）적상관위험인소。방법：선택2012년10월-2013년8월행안저검사적당뇨병환자253례，채용Logistic회귀분석DR적상관위험인소。결과：253례당뇨병환자중，DR환자77례（30．43％），DR조여비DR조상비，년령、병정、수축압（systolic blood pressure ，SBP）、뇨미량백단백（urine microalbumin ，U-MA）、U-MA여뇨기항（urine creatinine ，UCr）비치적차이균유통계학의의（P＜0．05）。Logistic회귀분석현시，당뇨병병정시DR적독립위험인소（OR＝1．191，P＜0．005）。77례DR환자중，단순DR환자65례，증식기DR환자12례，량조총담고순（total cholesterol ，TC）、U-MA、U-MA/UCr차이균유통계학의의（P＜0．05）。결론：DR여년령、병정、SBP、U-MA、U-MA/UCr등인소유관，당뇨병병정시DR적독립위험인소。
Objective:To explore the risk factors related to diabetic retinopathy (DR) in type 2 diabetic mellitus patients . Methods :From October 2012 to August 2013 ,253 patients with type 2 diabetic mellitus were examined by fundoscopy .Logistic regression analysis was used to evaluate the related risk factors to DR .Results:There were 77 patients (30 .43% ) with DR in 253 DM patients .The differences of age ,diabetic duration ,systolic blood pressure (SBP) ,urine microalbumin (U-MA) ,and the ratio of U-MA to urine creatinine (UCr ) were statistically significant between DR group and non-DR group (P<0 .05) . Logistic regression analysis showed that diabetic duration was an independent risk factor related to DR (OR= 1 .191 , P<0 .005) .There were 65 patients with non-proliferative DR and 12 patients with proliferative DR .The above groups had statisti-cally different total cholesterol (TC) ,U-MA and U-MA/UCr (P<0 .05) .Conclusions :DR is correlated to age ,diabetic dura-tion ,SBP ,U-MA and U-MA/UCr ,in which diabetic duration is an independent risk factor related to DR .