糖尿病视网膜病变筛查的临床分析

Clinical Analysis of Diabetic Retinopathy Screening

目的了解门诊糖尿病患者中糖尿病性视网膜病变(DR)的发生情况,并分析DR与病程及年龄的关系。方法回顾性临床调查研究。对2010年6月至2011年6月期间,在我院就诊的糖尿病患者1587例,采用彩色眼底照相机及散瞳检查确定DR诊断,计算DR发病率,并分析病程及年龄对发病率的影响。结果 1587例糖尿病患者中DR536例,发病率为33.8%,其中男性DR为286例,发病率为32.9%(286/870);女性DR为250例,发病率为34.9(250/717)。新确诊糖尿病病例414例,男性为223例,女性为191例,其中DR64例,DR发病率15.5%。70岁以上糖尿病患者DR发病率最高。病程在15年以上的糖尿病患者DR发病率最高。结论病程、年龄是DR的发病危险因素。随着病程延长,年龄越大发病率显著增高。早期对确诊的糖尿病病人进行眼底筛查,定期检查,糖尿病眼病知识的教育,做到早期治疗,对DR的控制具有重要意义。

Objective To determine the prevalence of diabetic retinopathy in outpatient suffered from DM and assay the relationship between DR with course of disease or age. Methods Tetrospective study of clinical investigation. To calculate incidence rates of DR in 1587 patients photography of ocular fundus and dilated pupil was used for diagnosis of DR from 2010 to 2011. Assay the influence between the rate and the course of disease or age. Results The prevalence of DR was 33.8% in 1587 diabetic patients ,270 for male and 266 for female .The prevalence of DR of 414 newly onset diatetes was 15.5%. Conclusion Course of disease and age are the risk factors of DR, longer the course of DM and aging ,higher the incidence of DR .It is important to DR controlled fundus examination in early time to diabetic, regular inspection and diabetic eye disease＇s education.