北京地区糖尿病视网膜病变及其他慢性并发症的调查

A screening survey of diabetic retinopathy and other chronic complications in Beijing district

目的 :对北京地区的糖尿病视网膜病变及糖尿病其他慢性并发症进行调查。方法 :空腹馒头餐后 2小时 ,指血血糖≥ 12 0mg/dL者 ,接受WHO统一的口服葡萄糖耐量试验 ,同时散瞳查眼底及作血压、心电图、尿微量白蛋白等多种检查。结果 :糖尿病患病率 3 44 % ,糖耐量低减患病率 3 2 6 % ,糖尿病视网膜病变在糖尿病人中的患病率为 10 12 % ,将糖尿病视网膜病变与血糖状态、尿白蛋白排泄率、血压、冠心病、肥胖、胰岛素水平进行显著性检测 ,仅与前两者显著相关。结论 :糖尿病视网膜病变患病率 ,未能和糖尿病患病率的增加呈相应增加 ,可能与糖尿病患者病程短有关 ,并应重视与糖尿病肾病的关系。

Objective:A screening survey of diabetic retinopathy(DR)with other diabetic chronic complications was performed in Beijing district in 1994-1995.Methods:Those whose blood glucoses were over or equal to 120 mg/dl 2 hours after steamed bread-taking were subjected to oral glucose tolerance test (OGTT) designed uniformly by WHO,with mydriatic fundus exams as well as that of blood pressure,ECG,urine,albumin excretion etc.Results:The prevalence of diabetes mellitus(DM) was 3.44%,impaired glucose tolerance(IGT) 3.26%,DR out of DM was 10.12%.Significance testing was performed between DR and blood glucose,urine albumin excretion,blood pressure,coronary heart disease,fatness,plasma insulin.DR correlated significantly with the former 2 items.Conclusions:The prevalence of DR 10.12% was not increased coordinately with the increasing prevalence of DM,probably because of shorter duration of DM.DR correlation with diabetic nephropathy should be emphasized.