摘要
目的通过流行病学调查,探讨社区60岁以上的糖尿病患者糖尿病视网膜病变(DR)的患病率及其危险因素。方法采用整群抽样抽取样本,根据居民健康档案获得患有糖尿病的60岁以上的居民的病史资料,对糖尿病患者进行常规眼科检查,并进行空腹血糖、糖化血糖蛋白等测量。分层计算患病率,分析DR的危险因素。结果共调查660例糖尿病患者,检出DR患者93例(14.09%)。不同病程的糖尿病患者DR患病率进行比较,差异有统计学意义(χ2=54.248,P=0.000),糖尿病病程越长,DR患病率越高,但到5年后,DR患病率基本平稳。空腹血糖水平不同(≤7.8mmol/L、7.9～11.1mmol/L、>11.1mmol/L),患者DR患病率间差异有统计学意义(χ2=29.924,P=0.000),血糖水平越高,DR患病率相对较高。1型糖尿病与2型糖尿病患者DR患病率(6.00%与14.75%)比较,差异有统计学意义(χ2=4.455,P=0.033),2型糖尿病患者的DR患病率较高。血糖控制较好、适中、较差的患者DR患病率(分别为4.76%、11.48%和18.01%)比较,差异有统计学意义(P<0.01)。结论糖尿病病程、空腹血糖水平、糖尿病血糖控制程度及糖尿病类型是DR的影响因素。
Objective To explore,through epidemiological survey,the prevalence of diabetic retinopathy （DR） in elderly diabetic patients（over 60 years old） in communities and its risk factors.Methods Cluster sampling method was used to collect data from history information of elderly diabetic patients （over 60 years old）.Routine eye examinations were performed,fasting blood glucose and glycosylated blood protein determined,DR prevalence calculated and its risk factors analyzed.Results Of 660 diabetic patients,93 were complicated with DR （14.09%）,there was significant difference in DR prevalence between patients with different duration of diabetes（χ2=54.248,P=0.000）;the longer the duration,the higher the DR prevalence,but the prevalence was stable after 5 years.There was significant difference in DR prevalence between patients with different levels of fasting blood glucose（≤7.8 mmol/L,7.9～11.1 mmol/L,11.1 mmol/L）（χ2=29.924,P=0.000）,the higher the blood glucose,the higher the DR prevalence.Type I diabetics were significantly different from Type II in DR prevalence（6.00% vs 14.75%）（χ2=4.455,P=0.033）.Conclusion Duration of diabetes,fasting blood glucose,diabetic blood glucose control and types of diabetes are the influencing factors of DR.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第26期2895-2897,共3页
Chinese General Practice
作者简介
通讯作者：田庆丰，450001河南省郑州市，郑州大学公共卫生学院社会医学与卫生事业管理学教研室；E—mail：zzutqf@126．com
