中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2013年
8期
454-458
,共5页
邹燕红%贾伟%李乾%张宁%刘熙朴
鄒燕紅%賈偉%李乾%張寧%劉熙樸
추연홍%가위%리건%장저%류희박
糖尿病%视功能%糖尿病视网膜病变%低视力数据收集%小地区分析
糖尿病%視功能%糖尿病視網膜病變%低視力數據收集%小地區分析
당뇨병%시공능%당뇨병시망막병변%저시력수거수집%소지구분석
Diabetes mellitus%Visual function%Diabetic retinopathy%Low vision data collection%Small-area analysis
目的 探讨糖尿病患者视功能损害状况及其相关影响因素.方法 横断面调查研究.对北京市德胜社区卫生服务中心管理的社区糖尿病患者进行调查.通过现场问卷调查、视功能检查、裂隙灯检查、免散瞳眼底照相检查、血压、体重、身高、随机血糖等检查,获得糖尿病患者的相关数据资料.连续变量采用t检验或秩和检验,分类变量采用卡方检验进行分析,并应用Logistic多因素分析评价糖尿病患者视力损伤的相关因素.结果 德胜社区管理的720例糖尿病患者中,实际受检者519例,受检率72.1％.双眼生活视力均小于0.3者34例(占6.6％),经过矫正,20例至少一眼视力达到0.3及以上,其余14例双眼矫正视力均小于0.3.导致他们视功能损伤的主要原因为糖尿病视网膜病变,占42.9％.519例糖尿病患者中,73例照片不可读,占14.1％,经阅片明确患糖尿病视网膜病变的患者有141例,占总人数的27.2％.存在威胁视力的糖尿病视网膜病变和照片不可读的患者均需转诊眼科进一步检查,共计150例,占28.9％.经Logistic多因素分析,糖尿病病程、体重指数(BMI)、糖尿病视网膜病变罹患情况是糖尿病患者视力损伤的危险因素.结论 糖尿病患者视功能损伤的重要原因是糖尿病视网膜病变；加强社区糖尿病防治的眼病筛查,及时发现威胁视力的糖尿病视网膜病变,可能是减少糖尿病致盲的重要措施.
目的 探討糖尿病患者視功能損害狀況及其相關影響因素.方法 橫斷麵調查研究.對北京市德勝社區衛生服務中心管理的社區糖尿病患者進行調查.通過現場問捲調查、視功能檢查、裂隙燈檢查、免散瞳眼底照相檢查、血壓、體重、身高、隨機血糖等檢查,穫得糖尿病患者的相關數據資料.連續變量採用t檢驗或秩和檢驗,分類變量採用卡方檢驗進行分析,併應用Logistic多因素分析評價糖尿病患者視力損傷的相關因素.結果 德勝社區管理的720例糖尿病患者中,實際受檢者519例,受檢率72.1％.雙眼生活視力均小于0.3者34例(佔6.6％),經過矯正,20例至少一眼視力達到0.3及以上,其餘14例雙眼矯正視力均小于0.3.導緻他們視功能損傷的主要原因為糖尿病視網膜病變,佔42.9％.519例糖尿病患者中,73例照片不可讀,佔14.1％,經閱片明確患糖尿病視網膜病變的患者有141例,佔總人數的27.2％.存在威脅視力的糖尿病視網膜病變和照片不可讀的患者均需轉診眼科進一步檢查,共計150例,佔28.9％.經Logistic多因素分析,糖尿病病程、體重指數(BMI)、糖尿病視網膜病變罹患情況是糖尿病患者視力損傷的危險因素.結論 糖尿病患者視功能損傷的重要原因是糖尿病視網膜病變；加彊社區糖尿病防治的眼病篩查,及時髮現威脅視力的糖尿病視網膜病變,可能是減少糖尿病緻盲的重要措施.
목적 탐토당뇨병환자시공능손해상황급기상관영향인소.방법 횡단면조사연구.대북경시덕성사구위생복무중심관리적사구당뇨병환자진행조사.통과현장문권조사、시공능검사、렬극등검사、면산동안저조상검사、혈압、체중、신고、수궤혈당등검사,획득당뇨병환자적상관수거자료.련속변량채용t검험혹질화검험,분류변량채용잡방검험진행분석,병응용Logistic다인소분석평개당뇨병환자시력손상적상관인소.결과 덕성사구관리적720례당뇨병환자중,실제수검자519례,수검솔72.1％.쌍안생활시력균소우0.3자34례(점6.6％),경과교정,20례지소일안시력체도0.3급이상,기여14례쌍안교정시력균소우0.3.도치타문시공능손상적주요원인위당뇨병시망막병변,점42.9％.519례당뇨병환자중,73례조편불가독,점14.1％,경열편명학환당뇨병시망막병변적환자유141례,점총인수적27.2％.존재위협시력적당뇨병시망막병변화조편불가독적환자균수전진안과진일보검사,공계150례,점28.9％.경Logistic다인소분석,당뇨병병정、체중지수(BMI)、당뇨병시망막병변리환정황시당뇨병환자시력손상적위험인소.결론 당뇨병환자시공능손상적중요원인시당뇨병시망막병변；가강사구당뇨병방치적안병사사,급시발현위협시력적당뇨병시망막병변,가능시감소당뇨병치맹적중요조시.
Objective To investigate the prevalence and related factors of visual impairment in patients with diabetes mellitus.Methods Based on health records,type 2 diabetes patients from Beijing Desheng Community Health Center were enrolled into a cross-sectional investigative study.Visual acuity and the anterior segment of the eyes were checked.Two-field 45-degree color fundus images were taken through an undilated pupil.The retinal changes were graded using the Scottish Diabetic Retinopathy Grading System (2003).Data collection was secured with Epidata.Data were analyzed using a t test,rank sum test,chi-square test and logistic regression analysis.Results A total of 720 patients were enrolled and 519(72.1％) participated in the survey.Thirty-four patients presented with a visual acuity of less than 0.3 in both eyes.Among them,at least one eye in 20 patients improved to no less than 0.3 with correction.The best visual acuity of the other 14 patients remained less than 0.3.The main reason for their visual impairment was diabetic retinopathy (42.9％).Among all the participants,there were 73(14.1％) with ungraded images and 141(27.2％) with some diabetic retinopathy.In all,150 patients (28.9％) needed to be referred to ophthalmologists due to vision threatened by diabetic retinopathy or ungraded images.The risk factors of visual impairment in diabetes patients through logistic regression analysis include diabetic duration,body mass index and diabetic retinopathy.Conclusion The main reason for visual impairment among diabetes patients was diabetic retinopathy.Screening for visual problems in the community might be one of the important strategies for the prevention of blindness among diabetes patients.
