安徽医科大学学报2011,Vol.46Issue(12):1285-1287,3.
2型糖尿病视网膜病变相关因素分析
Analysis of the relevant factors for retinopathy of type 2 diabetes mellitus
摘要
Abstract
To study the relevant factors for type 2 diabetic retinopathy( DR ). Methods 379 cases of T2DM patients with fretinal, blood pressure, glycated hemoglobin ( HbAlC ), triglycerides ( CH ), cholesterol ( TG ), high density lipoprotein ( HDL ), low density lipoprotein ( LDL ), serum uric acid ( UA ), serum creatinine ( Cr ), blood urea nitrogen ( BUN ), alanine aminotransferase ( ALT ), body mass index ( BMI ), aspartate amin-otransferase ( AST ) and alkaline phosphatase ( ALP ) were analyzed. Results The overall prevalence of DR in patients with T2DM was 31. 13% , non-proliferative DR ( NPDR ) accounted for 24. 01% , proliferative DR ( PDR ) accounted for 7. 12% . In hospitalized patients, DR overall prevalence was 32. 2% , NPDR accounted for 23. 26% and PDR accounted for 8. 91% ;HbAlC was no significant correlation with DR;The course of DR was longer than that of patients with T2DM ( P < 0. 05 ), The disease duration of PDR patients was significantly longer than that of NPDR patients ( P < 0. 05 ); Levels of systolic and diastolic blood pressure in DR patients were higher than those in T2DM patients ( P <0. 05 ), levels of which in PDR patients were higher than in NPDR patients( P < 0. 05 ). In outpatients, DR the total prevalence of was 28. 81% ,NPDR accounted for 25. 4% ,PDR accounted for 3. 39% ,the course disease, blood pressure was no significant correlation with DR, the recent HbAl C of DR patients was higher than that of T2DM patients ( P < 0. 05 ) ,the recent HbAlC of PDR patients was higher than that of NPDR patients ( P <0. 05 ). Conclusion For long-term adherence better outpatient, there are no correlation DR patients with duration of disease,blood pressure,CH,TG,LDL,HDL,Cr,UA,BUN, ALT, AST and ALP; DR are associated with HbAlC. For hospitalized patients,DR are related with duration of blood pressure; Course of disease and blood pressure are important risk factors for DR.关键词
糖尿病视网膜病变/危险因素/糖尿病病程Key words
diabetic retinopathy/ risk factor/ course of disease分类
医药卫生引用本文复制引用
雷远,潘天荣,胡迪,龚健杨,邓大同..2型糖尿病视网膜病变相关因素分析[J].安徽医科大学学报,2011,46(12):1285-1287,3.基金项目
安徽省自然科学基金(编号:KJ2009B051Z) (编号:KJ2009B051Z)