CAJ | 학술논문

目的调查无锡市滨湖区50岁及以上人群中糖尿病视网膜病变(DR)的患病情况,分析其影响因素.方法 2010年1～12月采用分层整群随机抽样的方法,对50岁及以上人群进行DR普查.对所有受检者均进行详细的病史询问、全身检查,视力、裂隙灯显微镜、直接检眼镜检查和血样采集.DR诊断标准参照2002年国际DR分型标准.单眼或双眼DR均入选为DR患者.采用x2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.结果实际受检者6150人,受检率91.5％.检出糖尿病患者703例.除外屈光间质混浊无法记录眼底情况者40例,纳入分析663例.确诊DR 36例,占糖尿病患者的5.4％.非增生型DR 34例,占DM患者的5.1％；增生型DR 2例,占DM患者的0.3％.糖尿病病程(r=0.008)、空腹血糖(r=0.009)为影响DR患病率的独立因素(P＜0.05).结论无锡市滨湖区50周岁及以上人群DR患病率较低,糖尿病病程和空腹血糖是影响DR患病率的独立因素.
목적 조사무석시빈호구50세급이상인군중당뇨병시망막병변(DR)적환병정황,분석기영향인소.방법 2010년1～12월채용분층정군수궤추양적방법,대50세급이상인군진행DR보사.대소유수검자균진행상세적병사순문、전신검사,시력、렬극등현미경、직접검안경검사화혈양채집.DR진단표준삼조2002년국제DR분형표준.단안혹쌍안DR균입선위DR환자.채용x2검험통계분석여환병솔상관적영향인소,통과축보회귀분석사선출독립영향인소.결과 실제수검자6150인,수검솔91.5％.검출당뇨병환자703례.제외굴광간질혼탁무법기록안저정황자40례,납입분석663례.학진DR 36례,점당뇨병환자적5.4％.비증생형DR 34례,점DM환자적5.1％；증생형DR 2례,점DM환자적0.3％.당뇨병병정(r=0.008)、공복혈당(r=0.009)위영향DR환병솔적독립인소(P＜0.05).결론 무석시빈호구50주세급이상인군DR환병솔교저,당뇨병병정화공복혈당시영향DR환병솔적독립인소.
Objective To investigate the prevalence rate and risk factors of diabetic retinopathy (DR) in residents aged 50 and above in Binhu Area,Wuxi City.Methods Stratified cluster random sampling method was used to investigate the prevalence of DR of residents aged 50 and above from January to December 2010.Detailed medical history,general examination,visual acuity,slit lamp microscope,direct ophthalmoscopy and blood sample testing were conducted for all selected subjects.DR diagnostic criteria refer to the 2002 International DR classification criteria.Unilateral or bilateral DR was both considered as DR patients.x2 test was used for statistical analysis of risk factors,and independent risk factors were screened by SPSS 17.0 software.Results A total of 6150 residents underwent the examination with a participating rate of 91.5 ％.Seven hundred and three residents were diagnosed as with diabetes,in which 40 were unable to record the fundus condition due to opaque refractive media.Among the rest 663 diabetic patients,36 (5.4 ％) were DR patients.There were 34 non-proliferative DR (5.1 ％) and two proliferative DR (0.3％).The duration of diabetes and fasting blood-glucose were the independent risk factor of DR (r=0.008,0.009; P＜0.05).Conclusions The prevalence rate of DR is low in the residents aged 50 and above in Binhu Area,Wuxi City.The duration of diabetes and fasting blood-glucose level were confirmed as the independent risk factor of DR.