糖尿病性视网膜病变血糖控制水平的ROC分析

ROC Analysis of Blood Sugar Control for the Prevention of Diabetic Retinopathy

目的 对预防 2型糖尿病患者视网膜病变发生的血糖控制水平进行初步探索。方法 回顾性调查研究 ,运用ROC分析。结果 单独考虑早餐前血糖的作用 ,血糖水平控制在 7 9mmol/L(7 6～ 8 3mmol/L)可作为预防视网膜病变发生的安全参考值。结论 血糖水平增高作为糖尿病最主要的特征在糖尿病性视网膜病变的发生和进展中起着重要的作用 ,良好的血糖控制可明显减少病变的发生并延缓其进展。建议糖尿病患者应该定期检测血糖和HbA1c水平 ,正确评价血糖控制情况 ,以预防视网膜病变的发生。此外 ,还应该注意行常规的眼科检查。

Objective To explore the level of blood sugar for preventing against the occurrence of retinopathy in type 2 diabetes patients.Methods Retrospective study and ROC analysis.Results Considering the action of blood sugar before breakfast alone, the level of blood sugar at 7.9mmol/L(7.6～8.3mmol/L) could be the security reference value for the disease.Conclusion As a main character of diabetes mellitus, the higher level of blood sugar play an important role in occurrence and development of DR, which can be slowed down by controlling the level of blood sugar. Therefore, periodic examinations of HbA_ 1c and blood sugar should be made to evaluate the situation of sugar control for the prevention of DR, and routine ophthalmic testing is highly necessary too.