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[摘要]
目的：调查本地社区2型糖尿病患者糖尿病视网膜病变情况，分析2型糖尿病视网膜病变的危险因素，为预防和治疗糖尿病视网膜病变提供参考。
方法：随机选取2015-01/03社区健康档案2型糖尿病患者268例资料，通过远程阅片系统进行阅片，回顾性分析糖尿病视网膜病变患者人口学资料与实验室指标。
结果：在268例2型糖尿病患者中，检出糖尿病视网膜病变85例(31.7%)； 糖尿病视网膜病变患者与非糖尿病视网膜病变患者性别、病程、收缩压、空腹血糖、糖化血红蛋白、尿肌酐等比较，差异有统计学意义(P<0.05)； 多因素Logistic回归分析表明，病程、收缩压、空腹血糖、糖化血红蛋白是糖尿病视网膜病变的独立危险因素(P<0.05)。
结论：糖尿病患者长病程、高血压、高血糖是发生糖尿病视网膜病变的主要危险因素，应加强对糖尿病患者血压、血糖指标的监测，预防糖尿病视网膜病变的发生。
[Key word]
[Abstract]
AIM:To investigate and analyze diabetic retinopathy(DR)in patients with type 2 diabetes in local community and risk factors of type 2 diabetic retinopathy, and to provide reference for the prevention and treatment of diabetic.
METHODS:Randomly 268 cases with type 2 diabetes from community health management files from January to March 2015 were selected. Fundus photography was read through the remote reading system, demographic data and laboratory indexes of DR were analyzed.
RESULTS:In the 268 cases with type 2 diabetes, 85 cases were diagnosed as DR(31.7%); there were statistical difference on gender, duration, systolic blood pressure, fasting glucose, glycosylated hemoglobin A1c, urine creatinine between patients with DR and without(P<0.05). Multivariable Logistic regression analysis showed, duration, systolic blood pressure, fasting glucose, glycosylated hemoglobin A1c were independent risk factors of DR(P<0.05).
CONCLUSION:Long duration, high blood pressure, high blood glucose are main risk factors of DR, we should strengthen the monitoring of blood pressure, blood glucose and prevent the happening of the DR.
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