中国临床医学2017，Vol.24Issue(5)：723-727,5.DOI:10.12025/j.issn.1008-6358.2017.20170560
上海市嘉定区社区2型糖尿病患者糖尿病视网膜病变的流行病学调查
Epidemiological investigation of diabetic retinopathy in type 2 diabetes patients in community of Jiading district of Shanghai
摘要
Abstract
Objective:To investigate the prevalence and related risk factors of diabetic retinopathy (DR) among registered residents of type 2 diabetes mellitus in Jiading Industrial Zone Community Health Service Center,Shanghai.Methods:In this cross-sectional study,diabetic retinopathy was screened among registered residents with type 2 diabetes in Jiading Industrial Zone Community Health Service Center,Shanghai.The prevalence and risk factors of DR were evaluated by combining questionnaire and clinical examination.Results:Among 776 subjects who were chosen,695 people completed the study,and the overall response rate was 89.56％.26 cases were excluded because the refractive medium was opaque and the retina could not be seen clearly.DR was detected in 91 patients (13.60％).The mean duration of diabetes in patients with DR and without DR was (9.63±6.44) years and (7.02±5.32) years (OR=1.073,95％ CI 1.036-1.111,P＜0.001),the fasting blood glucose was (8.66±2.66) mmol/L and (7.52±2.15) mmol/L (OR=1.219,95％ CI 1.119-1.328,P＜0.001),glycated hemoglobin was (7.68±1.55)％ and (6.99±1.21)％ (OR=1.495,95％ CI 1.275-1.754,P＜0.001).There was also statistically significant difference in the use of insulin between DR patients and non-DR patients (OR=4.202,95 ％ CI 2.504-7.051,P＜0.001).Conclusions:The prevalence of DR among type 2 diabetes patients is 13.6％ in Jiading Industrial Zone,Shanghai.The longer the duration of diabetes is,the higher the fasting blood glucose is,the higher the glycosylated hemoglobin is,the greater the risk of DR will be.关键词
2型糖尿病/糖尿病视网膜病变/患病率/危险因素Key words
type 2 diabetes mellitus/diabetic retinopathy/prevalence/risk factors分类
医药卫生引用本文复制引用
沈旻倩,杨华,袁源智,祝墡珠,卫家芬,袁非..上海市嘉定区社区2型糖尿病患者糖尿病视网膜病变的流行病学调查[J].中国临床医学,2017,24(5):723-727,5.基金项目
上海市老年基金会(S15027),上海市嘉定区卫生局2013年中医类科研立项项目(2013-ZY-11).Supported by Shanghai Elderly Foundation (S15027) and Shanghai Jiading District Health Bureau 2013 TCM Research Project(2013-ZY-11). （S15027）
