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选取2013年6月-2015年12月在泸州医学院附属医院内分泌科住院的572例新诊断糖尿病患者,均进行免散瞳眼底摄片,按伴或不伴视网膜病变将患者分为糖尿病伴视网膜病变组(DR组)和不伴视网膜病变组(NDR组),比较两组患者在临床和生化指标上的差异,分析糖尿病视网膜病变发生的危险因素。结果:在572例患者中,61例(10.7%)患者合并视网膜病变。糖尿病合并视网膜组与不伴视网膜病变组相比,合并高血压比例更高(P<0.05),糖化血红蛋白、高甘油三酯水平更高(P<0.05)。不同年龄段新诊断糖尿病患者视网膜病变患病率比较,差异有统计学意义(P<0.05)。结论:年龄、高血糖、高血压、高甘油三酯水平是糖尿病视网膜病变发生的主要危险因素。
572 cases of newly diagnosed diabetic patients hospitalized in Department of Endocrinology of Affiliated Hospital of Luzhou Medical College from June 2013 to December 2015 were all performed mydriasis-free fundus photography with or without retinopathy. Patients were divided into diabetic with retinal (DR group) and non-retinopathy group (NDR group). The differences of clinical and biochemical indexes between the two groups were compared to analyze the risk factors of diabetic retinopathy. Results: Of the 572 patients, 61 (10.7%) had retinopathy. Compared with non-retinopathy group, diabetic patients with retinopathy had higher proportion of combined hypertension (P <0.05) and higher levels of HbA1c and triglyceride (P <0.05). The prevalence of retinopathy in newly diagnosed diabetic patients at different ages was significantly different (P <0.05). Conclusion: Age, hyperglycemia, high blood pressure and high triglyceride level are the main risk factors of diabetic retinopathy.