中华糖尿病杂志
中華糖尿病雜誌
중화당뇨병잡지
CHINES JOURNAL OF DLABETES MELLITUS
2009年
5期
337-340
,共4页
屈丹%邢桂红%哈长愉%周红%任俊敬
屈丹%邢桂紅%哈長愉%週紅%任俊敬
굴단%형계홍%합장유%주홍%임준경
糖尿病视网膜病%患病率%危险因素
糖尿病視網膜病%患病率%危險因素
당뇨병시망막병%환병솔%위험인소
Diabetic retinopathy%Prevalance%Risk factors
目的 了解本溪市中心城区2型糖尿病患者视网膜病变患病率及相关因素.方法 采用多阶段分层整群抽样方法对2007年12月至2009年5月本溪市中心城区2276例2型糖尿病患者[男1166例,女1110例,年龄31～90岁,平均(61±11)岁]进行分析,行散瞳眼底镜检查或眼底荧光素血管造影,采集临床资料,根据不同危险因素及是否伴有其他并发症分组,比较各组糖尿病视网膜病变的患病率.应用卡方检验进行率的比较,应用多元Logistic回归进行危险因素分析.结果 糖尿病视网膜病变患病率为31.81%.随着患者年龄的增长,糖尿病视网膜病变患病率增高(x~2=25.037,P＜0.05),65岁以上患者糖尿病视网膜病变患病率达37.37%.随着病程的延长,糖尿病视网膜病变患病率增高(x~2=109.873,P＜0.05),病程超过20年的患者糖尿病视网膜病变患病率高达53.81%.吸烟、高血压、血脂异常、糖尿病家族史、高尿酸血症、糖化血红蛋白≥8%、合并冠心病和周围神经病变者糖尿病视网膜病变的患病率较高.饮茶者糖尿病视网膜病变的患病率低于不饮茶者(x~2=9.977,P＜0.05),饮茶者视网膜病变程度低于不饮茶者(x~2=7.267,P＜0.05).结论 高龄、病程延长、吸烟、高血压、血脂异常、糖尿病家族史、高尿酸血症、糖化血红蛋白≥8%、合并冠心病和周尉神经病变均为糖尿病患者视网膜病变的危险因素,而饮茶可延缓糖尿病患者视网膜病变的发生、发展.
目的 瞭解本溪市中心城區2型糖尿病患者視網膜病變患病率及相關因素.方法 採用多階段分層整群抽樣方法對2007年12月至2009年5月本溪市中心城區2276例2型糖尿病患者[男1166例,女1110例,年齡31～90歲,平均(61±11)歲]進行分析,行散瞳眼底鏡檢查或眼底熒光素血管造影,採集臨床資料,根據不同危險因素及是否伴有其他併髮癥分組,比較各組糖尿病視網膜病變的患病率.應用卡方檢驗進行率的比較,應用多元Logistic迴歸進行危險因素分析.結果 糖尿病視網膜病變患病率為31.81%.隨著患者年齡的增長,糖尿病視網膜病變患病率增高(x~2=25.037,P＜0.05),65歲以上患者糖尿病視網膜病變患病率達37.37%.隨著病程的延長,糖尿病視網膜病變患病率增高(x~2=109.873,P＜0.05),病程超過20年的患者糖尿病視網膜病變患病率高達53.81%.吸煙、高血壓、血脂異常、糖尿病傢族史、高尿痠血癥、糖化血紅蛋白≥8%、閤併冠心病和週圍神經病變者糖尿病視網膜病變的患病率較高.飲茶者糖尿病視網膜病變的患病率低于不飲茶者(x~2=9.977,P＜0.05),飲茶者視網膜病變程度低于不飲茶者(x~2=7.267,P＜0.05).結論 高齡、病程延長、吸煙、高血壓、血脂異常、糖尿病傢族史、高尿痠血癥、糖化血紅蛋白≥8%、閤併冠心病和週尉神經病變均為糖尿病患者視網膜病變的危險因素,而飲茶可延緩糖尿病患者視網膜病變的髮生、髮展.
목적 료해본계시중심성구2형당뇨병환자시망막병변환병솔급상관인소.방법 채용다계단분층정군추양방법대2007년12월지2009년5월본계시중심성구2276례2형당뇨병환자[남1166례,녀1110례,년령31～90세,평균(61±11)세]진행분석,행산동안저경검사혹안저형광소혈관조영,채집림상자료,근거불동위험인소급시부반유기타병발증분조,비교각조당뇨병시망막병변적환병솔.응용잡방검험진행솔적비교,응용다원Logistic회귀진행위험인소분석.결과 당뇨병시망막병변환병솔위31.81%.수착환자년령적증장,당뇨병시망막병변환병솔증고(x~2=25.037,P＜0.05),65세이상환자당뇨병시망막병변환병솔체37.37%.수착병정적연장,당뇨병시망막병변환병솔증고(x~2=109.873,P＜0.05),병정초과20년적환자당뇨병시망막병변환병솔고체53.81%.흡연、고혈압、혈지이상、당뇨병가족사、고뇨산혈증、당화혈홍단백≥8%、합병관심병화주위신경병변자당뇨병시망막병변적환병솔교고.음다자당뇨병시망막병변적환병솔저우불음다자(x~2=9.977,P＜0.05),음다자시망막병변정도저우불음다자(x~2=7.267,P＜0.05).결론 고령、병정연장、흡연、고혈압、혈지이상、당뇨병가족사、고뇨산혈증、당화혈홍단백≥8%、합병관심병화주위신경병변균위당뇨병환자시망막병변적위험인소,이음다가연완당뇨병환자시망막병변적발생、발전.
Objective To understand the prevalence of diabetic retinopathy (DR) and its risk factors.Methods The cluster multistage sampling was conducted in a total of 2276 patients with type 2 diabetes living in the urban area of Benxi who received mydriasis funduscopy or fundus fluorescein angiography.The clinical data were collected.Grouping was based on different risk factors and other complications.Statistical analysis was carried with SPSS 13.0 software.Results The prevalence of DR was 31.81%.DR was increased with age(x~2 = 25.037,P ＜ 0.05),and reached up to 37.37% in the patients over 65 years old.DR was also increased with the duration of diabetes (x~2 = 109.873,P ＜ 0.05),and reached up to 53.81% in the patients with disease over 20 years.Smoking,hypertension,hyperlipidemia,diabetes family medical history,hyperuricemia,HbA1c ≥8%,and combinant coronary heart disease or diabetic polyneuropathy (DPN) could increase the prevalence of DR.The tea consumption decreased the prevalence (x~2 = 9.977,P ＜ 0.05) and the severity (x~2 = 7.267,P＜0.05) of DR.Conclusions Old age,longer duration of diabetes,smoking,hypertension,hyperlipidemia,diabetes family medical history,hyperuricemia,HbA1c≥8%,and combinant coronary heart disease or DPN may be the risk factors of DR.Tea consumption may delay the development of DR.
