摘要
目的:探讨2型糖尿病视网膜病变(DR)的相关危险因素。方法:对562例2型糖尿病患者行眼底检查,测血压,化验FPG、HBA1c、Cr、尿微量白蛋白排泄率(UAER)等指标并进行分析。结果:2型糖尿病患者DR患病率19.2%,其中非增生性DR16.1%,增生性DR3.1%。DR患者的病程、SBP、FPG、HBA1c、Cr、尿微量白蛋白排泄率(UAER)均高于单纯DM患者(P<0.05)。增生性DR患者病程明显长于非增生性DR患者(P<0.01)。Logistic多元回归分析显示病程、HBA1c、UAER是DR发病的独立危险因素。结论:DR与糖尿病病程、SBP、FPG、HBA1c、Cr、UAER等升高有关,病程、HBA1c、UAER是DR发病的独立危险因素。
Objective：To study the risk factors for type 2 diabetic retinopathy（DR）.Methods：Eye ground,systolic blood pressure（SBP）,fasting blood glucose（FBG）,glycosylated hemoglobin（HBA1c）,serum creatinine（Cr）,urinary albumin excret ratio （UAER）in 562 diabetes were analyzed.Results：The all rate of DR was 19.2%（108/562）,including 16.1%（91/562） of non-proliferative DR and 3.1%（17/562） of proliferative DR.The course of disease,SBP,FPG,HBA1c,Cr,UAER in DR were predominantly higher than in NDR（P〈0.05）.The course of disease in proliferative DR was obviously higher than in non-proliferative DR（P〈0.01）.Logistic multiple regression analysis indicated that The course of disease,HBA1c and UAER were independent risk factor for DR.Conclusion：The DR is correlated with the course of disease,SBP,FPG,HBA1c,Cr and UAER.The course of disease,HBA1c and UAER were independent risk factor for DR.
