首钢职工糖尿病视网膜病变流行病学调查

Epidemiologic study of diabetic retinopathy in Capital Steel Company

目的对首钢所属年龄在３０岁以上人群２９９３８例糖尿病视网膜病变的发生率及其危险因素进行调查。方法对确诊为糖尿病的９５５例（３．１９％）中的５３４例进行系统眼部检查，部分行眼底荧光血管造影。结果糖尿病患者５３４例中，９０例有糖尿病视网膜病变（１６．９％）。结论糖尿病视网膜病变与糖尿病病程、治疗方法和空腹血糖水平显著相关。多因素逻辑回归分析表明，糖尿病病程和空腹血糖水平是视网膜病变发生的最主要危险因素。

Objective To investigate the prevalence and risk factors of diabetic retinopathy. Method 29 938 subjects aged 30 years or older were screened for diabetic retinopathy in Capital Steel Company. Results Among the 955 subjects (3.19%) proved to have diabetes mellitus, 534 subjects underwent ophthalmoscopic and fluorescein angiographic examinations. Diabetic retinopathy was present in 90 of the 534 (16.9%). Conclusions Diabetic retinopathy is correlated with the duration of diabetes, type of diabetes treatment, and fasting glucose level. Other factors have no significant association with the retinopathy. By multiple logistic analysis, duration of diabetes and fasting glucose level are the most important risk factors related to the retinopathy.