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对7年来住院的544例糖尿病(DM)患者视网膜病变(DR)发生情况进行了调查分析,结果表明:视网膜病变总发生率为34％。其中非增殖性为29.8％,增殖性为4.2％。DR发生率与性别、糖尿病类型及血糖高低关系不显著,与糖尿病患者的年龄、血压及尿蛋白关系较密切。提出防止DM患者失明的关键是严格控制血糖、血压,必要时对有视网膜病变的患者进行激光光凝和/或玻璃体切割术可能会收到良好的效果。
The incidence of retinopathy (DR) in 544 diabetic patients hospitalized in 7 years was investigated and analyzed. The results showed that the total incidence of retinopathy was 34%. Among them, non-proliferative was 29.8% and proliferative was 4.2%. The incidence of DR had no significant correlation with gender, type of diabetes and the level of blood glucose, but closely correlated with age, blood pressure and urinary protein in diabetic patients. The key to preventing blindness in patients with DM is the strict control of blood glucose and blood pressure and, if necessary, laser photocoagulation and / or vitrectomy in patients with retinopathy may receive good results.