豹纹状眼底与糖尿病性视网膜病变关系的研究

On relationship between tigroid fundus and diabetic retinopathy

目的观察豹纹状眼底改变对2型糖尿病患者眼底病变的影响。方法收集2009年3月至2010年1月就诊的2型糖尿病合并豹纹状眼底患者51例97只眼,散瞳眼底检查进行糖尿病视网膜病变(DR)的诊断和分期,同时对研究对象的性别、年龄、病程、血糖、糖化血红蛋白(HbA1c)、血脂、血压及近视程度进行统计分析。结果 51例97只眼中未发生DR者86只眼,DR者11只眼,全部为单纯型糖尿病性视网膜病变,DR患病率为11.3%(11/97)。发生DR与未发生DR者在糖尿病病程、年龄、血糖情况、HbA1c(%)、血压、血脂和近视程度上均无统计学意义的差异(P>0.05)。结论豹纹状眼底可能是对糖尿病患者眼底的一个保护性因素。

OBJECTIVE To observe whether changes in tigroid fundus affect retinopathy in patients with type II diabetes. METHODS Fifty-one cases （97 eyes） with type Ⅱ diabetes and tigroid fundus were selected from March 2009 to January 2010. Cases with diabetic retinopathy （DR） was diagnosed and staged by using dilated fun- dus examination. Statistical analyses were conducted considering their gender, age, course of disease, blood sugar, HbA 1 c and blood lipids, blood pressure and the degree of myopia. RESULTS There were 86 eyes without DR and 11 eyes with DR among 51 cases （97 eyes）. However, they all had simple diabetic retinopathy, with an affected rate of 11.3% （11/97）. There was no statistical difference between patients with DR and those without DR in regard to course of disease, age, blood sugar, HbA 1 c （%）, blood pressure, blood lipids, and the degree of myopia. CONCLU- SIONS Tigroid fundus might be a protective factor for the fundus in patients with type Ⅱ diabetes.