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揭阳市老年糖尿病性视网膜病变患病现状及影响因素分析

Prevalence and risk factors of diabetic retinopathy in the elderly in Jieyang
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摘要 目的对揭阳市老年糖尿病性视网膜病变(DR)患病现状及影响因素进行分析,以期为揭阳市老年DR的预防提供依据。方法此次研究收集2018年12月-2021年6月前往揭阳市各医院就诊的2100例老年DM(糖尿病)患者的病史资料作为研究对象,统计DR发生率,同时对老年DM并发DR的影响因素进行分析。结果研究纳入2100例DM患者,最终确诊DR100例。单因素分析结果显示:年龄、性别、职业、DM病程、FPG、2h PG、BMI、HbA1c、受教育年限、是否遵医嘱治疗、是否合并肾损伤、是否合并高血压、是否合并高血脂、是否吸烟、是否饮酒、是否喜好饮茶均为影响DM人群DR发病率的因素。多因素分析结果显示:年龄在60-65岁之间、女性患者、农民、DM病程长、血糖控制不理想、HbA1c偏高、受教育时间短、治疗依从性差、合并高血压、有吸烟史、有饮酒史、喜好饮茶为DM人群并发DR的危险因素。结论揭阳市老年DM人群发生视网膜病变与血糖控制不理想、不良生活习惯、性别、年龄、职业等多种因素相关,因此,在DR疾病预防中应识别、筛选高危老年DM人群,早期进行跟踪、干预,以降低DR发生率,提升患者生活质量。 Objective To analyze the prevalence and risk factors of elderly diabetic retinopathy(DR)in Jieyang,China,and to provide evidence for the prevention of DR.Methods A total of 2100 elderly patients with DM from December 2018 to June 2021 in Jieyang were enrolled in this study.The incidence of DR and the influencing factors of DM complicated with DR were analyzed.Results 2100 patients with DM were included in this study,and 100 patients were finally diagnosed as DR.The results of univariate analysis showed that age,sex,occupation,duration of DM,FPG,2h PG,BMI,HbA1c,years of education,treatment according to medical advice,renal injury,hypertension,hyperlipidemia,smoking,drinking,and preference of tea were all factors affecting the incidence of DR in DM.The results of multivariate analysis showed that the patients were 60-65 years old,female,farmer,long course of DM,poor control of blood glucose,high HbA1c,short education time,poor treatment compliance,hypertension,smoking and drinking history,drinking tea is a risk factor for DR.Conclusion DR in the elderly is associated with poor glycemic control,unhealthy lifestyle,sex,age and occupation,in order to reduce the incidence of DR and improve the quality of life,it is necessary to identify and screen high-risk elderly patients with DM,and to follow up and intervene early.
作者 杨虹瑜 杨天春 李水柳 Yang Hongyu;Yang Tianchun;Li Shuiliu(Jieyang Ciyun Hospital,Jieyang,Guangdong 522031,China)
出处 《首都食品与医药》 2024年第19期112-114,共3页 Capital Food Medicine
基金 揭阳市医学科学技术研究项目(编号:揭市卫〔2022〕49号)。
关键词 老年人群 糖尿病 视网膜病变 影响因素 elderly population diabetes mellitus retinopathy influencing factors
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