上海市北新泾街道糖尿病患者视网膜病变的患病率调查

Epidemiological investigation of diabetic retinopathy in Beixinjing blocks, Shanghai

目的探讨上海市北新泾街道患有糖尿病(DM)居民中糖尿病视网膜病变(DR)患病率和相关因素。方法根据居民健康档案获得患DM的居民,通过询问和检查获得病史资料、视力、眼部病变、眼压资料,采用眼底照相方法确立DR诊断。结果实际受检535人,受检率为90.68%。共确诊DR患者146例,DR的患病率为27.29%。单纯型和增生型DR的患病率分别为22.99%和4.30%。DM病程为影响DR患病的独立因素。DM病程,同时罹患周围神经病变和体重指数是依次影响DR病情发展到增生型的独立因素。结论在DM居民中DR患病率高;需密切监测高危DM居民以控制DR患病。

Objective To investigate the incidence and the correlative factors of diabetic retinopathy （DR） in patients with diabetes mellitus （DM）who lives in Beixinjing blocks, Shanghai. Methods Residents with DM were enrolled according to resident health archives. The data of disease history, visual acuity, eye disease and introeular pressure were collected by inquiry and examination. Photography of ocular fundus was used to confirm the diagnosis of DR. Results A total of 535 residents excepted the examination with the participating rate of 90.68%, in whom 146 （27.29%） were identified as with DR. The incidence of single and proliferative DR was 22.29% and 4. 30%, respectively. Duration of DM was the independent risk factor of DR, while long duration of DM, accompanied with peripheral neuropathy and body mass index was the in order independent factor of proliferative DR. Conclusions The incidence of DR is high in residents with DM. Monitoring DR progress in DM residents with risk factors is recommended.