摘要
目的调查南昌市部分社区40岁及以上人群中2型糖尿病患者糖尿病视网膜病变(diabetic retinopathy,DR)的患病率和相关危险因素。方法采用分层整群随机抽样的方法对40岁及以上人群进行问卷调查,并进行身体质量指数、血压、血脂、24 h尿蛋白等检测,同时行眼科相关检查:视力、裂隙灯、验光、眼压、直接眼底镜、眼底照相及荧光眼底血管造影,分析DR相关危险因素。结果有9776名调查对象接受检查,受检率97.76%,831例确诊为2型糖尿病,其中有780人接受了眼科检查,除50例屈光介质混浊较重无法看清眼底者外,730例患者中确诊DR者223例,占糖尿病患者的30.5%,其中背景型DR患者211例,占糖尿病患者的28.9%,增殖型DR患者12例,占糖尿病患者的1.6%。多因素分析显示糖尿病病程长、高血糖、高血压、高血脂、高24 h尿微量蛋白是DR的显著危险因素,而年龄、性别等与DR发病相关性不大。结论南昌市社区40岁及以上人群2型糖尿病患者中DR的患病率较高,糖尿病病程长、高血压、高血糖、高血脂、高24 h尿微量蛋白是DR发生的危险因素。
Objective To observe the prevalence and risk factors of patients with type 2 diabetes mellitus diabetic retinopathy（DR） aged 40 - 85 years old in part of the community of Nanchang city. Methods The stratified random sampling question- nalre survey was performed in DR people aged 40 years old or above. The body mass in- dex, blood pressure, blood lipid, 24 hours urinary small protein examination were meas- ured, and the far and near visual, slit lamp, comprehensive optometry, intraocular pres- sure, direct ophthalmoscope, eyeground photography, fluorescence fundus angiography were taken or detected. And the related risk factors of DR were analyzed. Results A total of 9775 residents underwent the examination with a participating rate of 97.5%. 831 residents were diagnosed as diabetes, and 780 diabetes accepted inspection of oph- thalmology,in which 50 cases were unable to record the fundus condition due to opaque refractive media. Among the rest 730 diabetic patients,223 cases（ 30.5% ） were DR pa- tients. There were 211 cases with background DR（28.9% ） and 12 cases with prolifera- tive diabetic retinopathy（ 1.5% ）. Multivariable analysis showed that the course of dia- betes, hypertension, high blood glucose, hyperlipemia and increase of 24 hours urinary small protein were the risk factors for DR, while the age, sex, and family history was not related to DR. Conelusion The prevalence of DR in Nanchang community populationaged ≥40 years old with type 2 diabetes mellitus is high, the course of diabetes, hypertension, high blood glucose, hyper- lipemia and increase of 24 hours urinary small protein are the risk factors for DR.
出处
《眼科新进展》
CAS
北大核心
2015年第11期1047-1050,共4页
Recent Advances in Ophthalmology
基金
江西省卫生厅课题(编号:20132037)~~
关键词
糖尿病视网膜病变
南昌市
中老年人
患病率
diabetic retinopathy
Nanchang conununity
middle and old aged people
prevalence
