糖尿病与高眼压及原发性开角型青光眼的相关性探讨

The Relationship between Diabetes and High Intraocular Pressure and Primary Open Angle Glaucoma

目的探讨糖尿病与高眼压及原发性开角型青光眼的相关性。方法选取86例于2017年9月—2018年9月在该院眼科进行诊疗的患者为研究对象,将眼压正常患者归为对照组,高眼压及原发性开角型青光眼患者归为研究组,对比两组患者空腹血糖、餐后2 h血糖及糖化血红蛋白水平,比较患者糖尿病的发生率。结果研究组患者的空腹血糖、餐后2 h血糖及糖化血红蛋白水平均明显高于对照组,组间比较差异有统计学意义(P<0.05);研究组糖尿病的发生率为13.95%,明显高于对照组的2.33%,差异有统计学意义(P<0.05);原发性开角型青光眼患者糖尿病发生的性别比较(6.98%vs 6.98%)差异无统计学意义(P>0.05)。结论糖尿病是引发高眼压及原发性开角型青光眼的重要原因之一,与高眼压及原发性开角型青光眼之间存在着密切相关性。

Objective To investigate the correlation between diabetes mellitus and high intraocular pressure and primary open angle glaucoma. Methods Eighty-six patients who underwent medical treatment in our hospital from September 2017 to September 2018 were enrolled in the study. Patients with normal intraocular pressure were assigned to the control group.Patients with high intraocular pressure and primary open angle glaucoma were included as the study group, the fasting blood glucose, postprandial 2 h blood glucose and glycated hemoglobin levels were compared between the two groups to compare the incidence of diabetes in the patients. Results The fasting blood glucose, postprandial 2 h blood glucose and glycated hemoglobin levels in the study group were significantly higher than those in the control group. There was statistically significant difference between the two groups(P<0.05). The incidence of diabetes in the study group was 13.95%, which was significantly higher than the control group 2.33%. There were statistically significant differences between the two groups(P<0.05). There was no statistically significant difference in gender(6.98% vs 6.98%) between the patients with primary open angle glaucoma(P>0.05). Conclusion Diabetes is one of the important causes of high intraocular pressure and primary open angle glaucoma. It is closely related to high intraocular pressure and primary open angle glaucoma.