山西省城乡糖尿病视网膜病变患病率及相关因素分析

Prevanlence Risk Factors of Diabetic Retinopathy between Urban and Rural Area in Shanxi Province

目的：调查山西省城乡2型糖尿病并发糖尿病视网膜病变（diabetic retinopathy,DR）的患病率,探讨DR发生的相关危险因素。方法：对研究对象现场问卷调查及眼底检查,对所调查的数据进行统计学分析。结果：太原市省直机关DR的患病率为7.51%,平遥县农村的DR患病率为18.28%。高经济收入优势比（OR）及95%可信限（95%CI）值：太原为0.209（0.050~0.881）,平遥县农村为0.034（0.002~0.563）;文化程度OR与95%CI值：太原为0.040（0.004~0.387）,平遥县农村为0.033（0.001~0.745）;糖尿病病程OR与95%CI值：太原为1.444（1.011~2.063）,平遥县农村为2.165（1.178~3.982）均于DR有相关性。结论：山西省太原市DR患病率低于平遥县农村;经济收入,文化程度及糖尿病病程是DR发生的危险因素。

Objective：To investigate the morbidity of diabetic retinopathy（diabetic retinopathy,DR） in type 2 diabetes mellitus,and explore risk factors of DR.Methods： On-site surveys and fundus examination were performed for diabetes mellitus patients,and the survey data were analyzed.Results： The prevalence of DR was 7.51% in Taiyuan provincial authorities,while it was 18.28% in Pingyao County.The odd ratio（OR） and 95% confidence interval（95% CI） of higher income was 0.209（0.050~0.881） in Taiyuan,while 0.034（0.002~0.563） in Pingyao;OR and 95% CI of higher education degree was 0.040（0.004~0.387） in laiyuan,while in Pingyao was 0.033（0.001~0.745）.For duration of diabetes,OR and 95% CI in Taiyuan was 1.444（1.011~2.063）,in pingyao was 2.165（1.178~3.982）,both were related to DR.Conclusions： The prevalence rate of DR are different in urban and rural areas in Shanxi Province.DR in Taiyuan city urban areas is less than Pingyao Country in rural areas.Income,education degree and diabetes course are risk factors of DR.