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糖尿病视网膜病变与血清胆红素水平的关系
引用本文:苏志燕,杨金奎,张琳. 糖尿病视网膜病变与血清胆红素水平的关系[J]. 首都医科大学学报, 2010, 31(1): 117-119
作者姓名:苏志燕  杨金奎  张琳
作者单位:首都医科大学附属北京同仁医院内分泌科 
摘    要:
目的探讨糖尿病患者视网膜病变与血清胆红素水平的关系。方法选取首都医科大学附属北京同仁医院内分泌科2005年6月至2008年5月住院的Ⅱ型糖尿病患者664例,根据眼底检查结果分为无视网膜病变(non-diabetic retinopathy,NDR)组和视网膜病变(diabetic retinopathy,DR)组,比较2组患者血清胆红素水平的差异。应用多因素非条件Logistic回归分析法对其危险因素建立方程。结果DR组患者胆红素水平低于NDR组患者(P<0.01),以糖尿病视网膜病变为因变量行Logistic回归分析显示病程(OR=1.011)、血清低密度脂蛋白水平(OR=1.450)和收缩压(OR=1.011)是其独立危险因素,血清胆红素水平(OR=0.909)是其保护性因素。结论胆红素水平与糖尿病视网膜病变的发生发展相关,应重视胆红素的抗氧化作用。

关 键 词:糖尿病视网膜病变  氧化应激  血清胆红素  眼底照相

Relationship between Diabetic Retinopathy and Serum Bilirubin Level
SU Zhi-yan,YANG Jin-kui,ZHANG Lin. Relationship between Diabetic Retinopathy and Serum Bilirubin Level[J]. Journal of Capital Medical University, 2010, 31(1): 117-119
Authors:SU Zhi-yan  YANG Jin-kui  ZHANG Lin
Affiliation:SU Zhi-yan,YANG Jin-kui,ZHANG Lin(Department of Endocrinology,Beijing Tongren Hospital,Capital Medical University)
Abstract:
Objective To investigate the relationship between diabetic retinopathy and serum bilirubin level.Methods Six hundreds and sixty-four hospitalized patients with type 2 diabetes mellitus from June 2005 to May 2008 were enrolled in this study.All subjects in this study were divided into two groups based on the results of fundus examination: non-diabetic retinopathy(NDR) group and diabetic retinopathy(DR) group.Serum bilirubin levels of two groups were determined and compared.Multivariate Logistic regression an...
Keywords:diabetic retinopathy  oxidative stress  serum bilirubin  fundus photography  
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