2型糖尿病视网膜病变的相关危险因素分析

作者单位:117000 辽宁 本溪,本溪市中心医院眼科

 糖尿病视网膜病变;危险因素;防治

Analysis of Risk Factors of Retinopathy in Type 2 Diabetes Mellitus
CUI Wei

(Ophthalmology Department, Benxi Central Hospital, Benxi 117000, Liaoning Province, China)

 Diabetic Retinopathy; Risk Factors; Prevention and Treatment

DOI: 10.3969/j.issn.1672-7185.2020.06.015

备注

 目的  调查我院内分泌科住院的2型糖尿病(DM)患者的视网膜病变(DR)的相关危险因素,分析在院糖尿病患者预防视网膜病变发生的策略。方法  随机抽取2018年1—12月在本溪市中心医院内分泌科住院的2型D M患者作为研究对象,根据有无视网膜病变分为D R组与非D R组,记录所有研究对象的一般情况、实验检查指标以及D R发生情况,比较两组研究对象之间上述资料的差异性,并筛选视网膜病变的危险因素。结果  共纳入2型DM患者698例,其中患有视网膜病变者187例。Logistic回归分析显示DM病程、糖化血红蛋白水平、尿微量白蛋白是视网膜病变发生的独立危险因素(P<0.05)。结论  DR的发生是多种因素共同作用的结果,DM病程,糖化血红蛋白水平,尿微量白蛋白是DR发生的独立危险因素。
 Objective  To investigate the risk factors of diabetic retinopathy (DR) in patients with type 2 diabetes mellitus (DM) in the Department of endocrinology of our hospital, and to analyze the prevention strategy of diabetic retinopathy in type 2 DM inpatients Methods  We randomly selected type 2 DM patients hospitalized in the Endocrinology Department of Benxi Central Hospital from January to December 2018 as the study object. According to whether there is retinopathy, they were divided into DR group and non DR group. The general condition, experimental examination indicators and DR occurrence of all cases were recorded and compared. The risk factors of retinopathy were evaluated. Results  A total of 698 patients with type 2 DM were finally included, and 187 patients had retinopathy. Logistic regression analysis showed that course of DM, glycosylated hemoglobin level and microalbuminuria were independent risk factors for retinopathy (P<0.05). Conclusion  The occurrence of DR is the combination of multiple factors. The course of DM, the level of glycosylated hemoglobin and urine microalbumin are the independent risk factors of DR.