摘要
目的探讨老年2型糖尿病患者发生糖尿病视网膜病变的相关因素。方法选择我院收治的老年2型糖尿病患者180例,其中90例伴有视网膜病变为观察组,90例不伴有视网膜病变为对照组,分析两组患者的病程、空腹血糖、餐后2h血糖、糖化血红蛋白、收缩压、舒张压、总胆固醇、血清脂蛋白α、载脂蛋白A1、载脂蛋白B等因素与糖尿病视网膜病变发生的相关性。结果两组患者病程、空腹血糖、餐后2h血糖、糖化血红蛋白、收缩压、舒张压、总胆固醇、血清脂蛋白α、载脂蛋白A1、载脂蛋白B方面比较具统计学意义(P<0.05)。结论病程、空腹血糖、餐后2h血糖、糖化血红蛋白、收缩压、舒张压、总胆固醇、血清脂蛋白α、载脂蛋白A1、载脂蛋白B等均是发生视网膜病变的主要相关因素,对于存在有高危因素的老年2型糖尿病患者应给予定期眼底检查。
Objective To investigate the risk factors of diabetes retinopathy in older patients with type 2 diabetes mellitus. Methods 180 patients were divided into diabetes retinopathy group（90 cases） and non-diabetes retinopathy group （90 cases） . The medical history, FBG, PBG2h, HbAlc, TC, SBP, DBP, LP （α）, APOA1, APOB were studied in 180 patients with type 2 diabetes mellitus. The related factors for the therapeutic effects and diabetes retinopathy were analyzed. Results There was nosignificantly differences in sex and age between the two groups （P〈0.05）, but significantly differences in the medical history, FBG, PBG2h, HbAlc, TG, SBP, DBP, LP（α）, APOA1, APOB（P〈0.05）. Conclusion The medical history, FBG, PBG2h, HbAlc, TG, LP（α） are the main factors of diabetes retinopathy.Oclurs for the existence cfihere are risk faltors in eldrly type 2diabetic patients should be giren regular funelus examination.
出处
《中国卫生产业》
2012年第21期11-11,13,共2页
China Health Industry
