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Ⅱ型糖尿病患者并发 视网膜病变的临床分析(附304例报告)
沈炜,韩丽荣,夏凤华,陆健,彭亚军,徐琪
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摘要:
目的:探讨Ⅱ型糖尿病(NIDDM)患者并发糖尿病性视网膜病变(DR)临床发病的规律及与各种发病因素的关系。方法:对304例NIDDM患者进行病史调查、眼科检查及实验室检查,分类分析相关发病因素。结果:本组NIDDM患者中DR总发生率为40.8%,其中单纯型视网膜病变(BDR)发生率高于增殖型视网膜病变(PDR);随着患者年龄的增长、病程的延长,以及伴发高血压和晶状体后囊下皮质混浊,BDR和PDR的发生率均随之增加。结论:长病程、高龄、伴有高血压和晶状体后囊下皮质混浊是NIDDM患者发生DR的重要危险因素。
关键词:  糖尿病,非胰岛素依赖型  糖尿病性视网膜病变  危险因素
DOI:
基金项目:
Analysis of the diabetic retinopathy in type-Ⅱ diabetes (with 304 cases of reports)
沈炜,韩丽荣,夏凤华,陆健,彭亚军,徐琪
()
Abstract:
Objective: To study the rules and the related risk factors of diabetic retinopathy(DR) in type-Ⅱ diabetes mellitus(NIDDM). Methods: 304 cases of NIDDM were investigated in detail about history, blood pressure, lens, fundus, and laboratory data were abtained. The incidence of DR and risk factors were then analyzed. Results: The DR incidence was 40.8%in 304 NIDDM patients, the background diabetic retinopathy (BDR) incidence was higher than that of proliferative diabetic retinopathy (PDR). The incidence of BDR and PDR was in a positive propotion with the age of patients, the coarse of NIDDM and the presence of hypertension and posterion subcapsular cortical opacity of tens. Conclusion: Long course of NIDDM, old age of patient, presence of hypertension and posterior subcapsular cortical opacity of the lens are the important risk factors of DR for NIDDM.
Key words:  diabetic mellitus, non-insulin-dependent  diabetic retinopathy  risk factors