摘要
目的调查惠州市自然人群中糖尿病视网膜病变(DR)患病率及相关危险因素。方法对惠州市2003至2005年自然人群11723人采用流行病学调查的方法,DR患者常规进行视力、眼底、荧光素血管造影(FFA)检查。结果 11723人中,糖尿病患者1046例,发病率8.9%,其中DR101例,发病率9.6%;DR患者0期26例(25.7%),1～2期20例(27.0%),3期24例(32.4%),4期30例(40.4%);病程与发病率有显着正相关(r=0.645,P<0.01);收缩压、空腹血糖、餐后血糖、糖化血红蛋白、24h尿蛋白、体质指数均表现为糖尿病视网膜病变组高于非糖尿病视网膜病变组(t=2.342、t=2.418、t=2.487、t=2.511、t=2.490、t=2.310,P均<0.05)。结论常规检眼镜检查,尤其是数码眼底彩色照相图像分析对早期诊断有重要价值。
Objective To investigate the morbidity and risk factors in natural oulation with diabetic retinopathy（diabetic retinopathy,DR）in Huizhou City.Methods 11,723 people used epidemiological survey methods,The routine visual,digital fundus,fundus fluorescein angiography （FFA）were checked in DR.Results 11,723 people,among 1,046 cases of diabetes,incidence rate of 8.9%,101 cases with DR,the incidence rate of 9.6%;DR patients with 0 phase of 26 cases（25.7%）,1～2 phase of 20 cases （27.0%）,three phase with 24 cases （32.4%）,four phase of 30 cases（40.4%）;Course and incidence had significant positive correlation（r=0.645,P〈0.01）;The index of systolic blood pressure,blood glucose,ostrandial glucose,glycated hemoglobin,24h urinary protein and body mass index in diabetic retinopathy were higher than that non-diabetic retinopathy（t=2.342,t=2.418,t=2.487,t=2.511,t=2.490,t=2.310,all P〈0.05）.Conclusion The fundus examination,especially Digital fundus examination on diabetic retinopathy is the effective method on clinical early diagnosis.
出处
《中国医药指南》
2010年第19期27-28,共2页
Guide of China Medicine
关键词
糖尿病视网膜病变
糖尿病
数码眼底检查
荧光素血管造影
调查
Diabetic retinopathy
Diabetes mellitus
Digital fundus
Fundus fluorescein angiography photograph
Investigation
