糖尿病视网膜病变防治重点目标人群的调查研究

Research on diabetic retinopathy prevention and control of key target groups

目的:为了解糖尿病人群相关危险因素对糖尿病视网膜病变(DR)发病的影响,从而为开展DR的防治工作提供对策和依据。方法:收集588例2型糖尿病患者的眼底检查情况及其它临床资料。根据眼底检查结果将患者分为糖尿病无视网膜病变(NDR)组398例及糖尿病视网膜病变(DR)组190例,并检测相关生化指标。结果:两组间比较,DR组病程较长,且收缩压(SBP)、舒张压(DBP)、空腹血糖(FPG)、餐后2 h血糖(P2BG)、糖化血红蛋白(HbAlc)均高于NDR组(P<0.05)。结论:应加强DR防治知识的普及,尤其是病程较长,SBP、DBP、FPG、P2BG和HbA1c较高的糖尿病患者应作为重点目标人群。

Objective：To understand the risk factors of the diabetic population on the pathogenesis of diabetic retinopathy（DR）,so as to provide the basis for the prevention of the DR.Methods： Fundus examination and other clinical data of 588 patients with type 2 diabetes were collected.According to fundus examination results,they were divided into diabetic patients without retinopathy（NDR） group（398 cases） and diabetic retinopathy（DR） group（190 cases）,and detected chemical and biological indicators.Results： Compared with the NDR group,the DR group showed the longer course and the indicators including systolic blood pressure（SBP）,diastolic blood pressure（DBP）,fasting plasma glucose（FPG）,2-hour postprandial glucose（2hPG） and glycosylated hemoglobin（HbAlc） increased,which were statistically significant（P0.05）.Conclusion： The popularity of DR prevention knowledge should be strengthened for the key target population,especially the diabetic patients with the longer course and the higher SBP,DBP,FPG,2hPG and HbA1c.