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血糖变异系数与非增殖型糖尿病视网膜病变患者黄斑区形态和微循环的关系 被引量:3
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作者 付淑颖 董艳敏 《国际眼科杂志》 CAS 北大核心 2023年第2期288-293,共6页
目的:探究血糖变异系数(FPG-CV)与非增殖型糖尿病视网膜病变(NPDR)患者黄斑区形态和微循环的关系。方法:回顾性分析2018-02/2022-06我院收治的82例82眼NPDR患者为研究对象,另选取同期82例82眼糖尿病无视网膜病变(NDR)患者作为对照组,分... 目的:探究血糖变异系数(FPG-CV)与非增殖型糖尿病视网膜病变(NPDR)患者黄斑区形态和微循环的关系。方法:回顾性分析2018-02/2022-06我院收治的82例82眼NPDR患者为研究对象,另选取同期82例82眼糖尿病无视网膜病变(NDR)患者作为对照组,分析两组患者的临床资料。通过多因素Logistic回归分析影响NPDR发病的危险因素,建立反向传播(BP)神经网络模型,并进行模型评价。采用Pearson相关性分析FPG-CV与患者黄斑区形态和微循环各指标的相关性。结果:多因素Logistic回归分析结果显示,病程≥7.2a、糖化血红蛋白(HbA1c)≥7.7%、甘油三酯(TG)≥1.9mmol/L、尿微量白蛋白(MALB)≥24.5mg/L、FPG-CV≥9.8%、浅层毛细血管丛血流密度(SCP-VD)<27.6%、深层毛细血管丛血流密度(DCP-VD)<47.7%、黄斑中心凹无血管区(FAZ)面积≥0.38mm 2、黄斑中心凹神经视网膜厚度(CRT)≥197.7μm以及黄斑中心凹下脉络膜厚度(SFCT)<227.7μm均为NPDR发病的危险因素(P<0.05)。隐含层节点数为5,受试者工作特征曲线(ROC)、校准曲线和临床决策曲线显示该预测模型的区分度、准确性和有效性均较好。Pearson相关性分析结果显示,FPG-CV与SCP-VD、DCP-VD以及SFCT均呈负相关(P<0.05);FPG-CV与FAZ面积以及CRT均呈正相关(P<0.05)。结论:病程、HbA1c、TG、MALB、FPG-CV、SCP-VD、DCP-VD、FAZ面积、CRT以及SFCT均与NPDR发病相关。随着FPG-CV升高,黄斑区形态和微循环各指标发生改变。FPG-CV与SCP-VD、DCP-VD以及SFCT呈负相关,与FAZ面积以及CRT呈正相关。 展开更多
关键词 糖尿病视网膜病变 空腹血糖变异系数 黄斑区形态学 黄斑区微循环 光学相干断层扫描血管成像
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Various configuration types of the foveal avascular zone with related factors in normal Chinese adults with or without myopia assessed by swept-source OCT angiography 被引量:1
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作者 Yan-Min Dong Hai-Yan Zhu +4 位作者 Zhen-Hui Liu shu-ying fu Ke Wang Li-Ping Du Xue-Min Jin 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2022年第9期1502-1510,共9页
·AIM:To describe the morphological characteristics of foveal avascular zone(FAZ)in normal Chinese adults with or without myopia by swept-source optical coherence tomography angiography(SS-OCTA)and analyze the pos... ·AIM:To describe the morphological characteristics of foveal avascular zone(FAZ)in normal Chinese adults with or without myopia by swept-source optical coherence tomography angiography(SS-OCTA)and analyze the possible associated factors.·METHODS:Normal Chinese adults with or without myopia aged between 18 and 60 y were recruited into the study.One eye in each individual was randomly selected for scanning using SS-OCTA.FAZ parameters,central retinal thickness(CRT)and central choroidal thickness(CCT)were then analyzed.Correlations between systemic and ocular variables and FAZ parameters were subsequently evaluated.The subgroup analysis based on refractive error was also carried out.·RESULTS:In total,127 eyes out of 127 normal subjects were finally included in the study(mean age29.5±8.22 y,61 males and 66 females).The pattern of FAZ was variable:round configuration in 28 eyes(22%),quadrilateral configuration in 23 eyes(18%),pentagonal configuration in 20 eyes(16%),oval configuration in 15 eyes(12%),triangular configuration in 6 eyes(5%)and irregular configuration in 35 eyes(28%).The mean area of FAZ was0.37±0.12 mm^(2).Females had a larger FAZ(0.41±0.11 mm^(2)vs0.32±0.11 mm^(2))compared with that of males(P<0.01).All myopic individuals showed smaller FAZ area and perimeter compared with that of normal individuals(P<0.01).There was no obvious correlation between age and FAZ.In the univariate regression analysis,both axial length(AL)and refractive error were significantly related to FAZ parameters.However,only CRT showed negative correlation with FAZ in the multivariate regression analysis.·CONCLUSION:The pattern of FAZ configuration in normal Chinese adults with or without myopia is highly variable.Establishing quantitative parameters of FAZ would not only provide details of macular pathophysiology but could possibly contribute as a biomarker in disease staging. 展开更多
关键词 foveal avascular zone swept-source optical coherence tomography angiography central retinal thickness MYOPIA
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