摘要
目的 研究糖尿病性视网膜病变 (DR)与糖尿病 (DM)控制状态的关系。方法 采用非条件 logistic回归模型 ,对影响 DR发生、发展的因素进行分析。结果 筛选出 5个有意义的因素 :尿微量白蛋白指数 (AL B/ Cr)、早餐前血糖、糖化血红蛋白 (Hb Alc)、DM性神经系统病变、DM病程 ,认为早餐前血糖 7.9mmol/ L是预防 DR发生的可建议的血糖水平 ,7.15 mmol/ L 则是较为严格控制 DR发生的血糖水平。结论 DM患者在血糖、其他并发症等方面的控制状态 ,影响着 DR的发生。
Objective To investigate the relationship between diabetic retinopathy(DR) and the state of diabetes mellitus(DM) control.Methods The factors for the occurrence and development of DR were analyzed by non conditional Logistic regression model.Results 5 significant factors were screened out,which were urinary microalbumin excretion index(ALB/Cr),blood glucose before breakfast,glycosylated hemoglobin(HbAlc),diabetic neuropathy and course of DM.And the sugestible threshold value of blood glucose before breakfast is 7.90mmol/L at which we can prevent the occurrence of DR,and at 7.15mmol/L,occurrence of DR can be strictly controlled.Conclusion The state of controlling blood glucose and other complications in DM patients influences the occurrence and development of DR.
出处
《中国糖尿病杂志》
CAS
CSCD
2002年第1期37-39,36,共4页
Chinese Journal of Diabetes
关键词
糖尿病视网膜病变
血糖
糖尿病控制
Diabetic retinopathy Blood glucose Diabetes mellitus control
