糖尿病视网膜病变危险因素logistic回归分析

目的 了解安徽省糖尿病患者中糖尿病视网膜病变（ＤＲ）的患病率及其危害因素。方法 以安徽省六地市自然人群中糖尿病患者２１６人为样本，进行年龄、性别、体重指数、血压、教育水平、病程、空腹血糖、血清胆固醇、甘油三酯、尿白蛋白排泄率、眼底等检查。结果 ６７例患者合并有ＤＲ，占３１．０％。单纯型者６２例，占２８．７％，增生型者５例，占２．３％。经Ｌｏｇｉｓｔｉｃ回归分析，发现病程、空腹血糖、收缩压及尿白蛋白排泄率与ＤＲ有显著相关关系。结论 病程、空腹血糖、收缩压、尿白蛋白排泄为ＤＲ的重要危险因素。

Logistic regression analysis of the risk factors for diabetic retinopathy

ObjectiveTo observe the prevalence and risk factors of diabetic retinopathy(DR ) among patients with diabetes mellitus in Anhui province.MethodsIn a population based study,216 patient with diabetes mellitus were screened from a random sample in six districts of An hui province.The following examinations and tests were performed:age,gender,body mass index(BMI),educational level,physical activity,blood pressure,duration of diabetes,fas ting blood glucose(FBG),serum triglyceride,cholesterol,urine albumin excretion(UAE ),ophthalmology examination.ResultsDR was present in 67 of 216 subjects(31.0%),includi ng background DR in 62 subjects(28.7%),proliferative DR in 5 subjects(2.3%).Logis tic regression analysis revealed that UAE,duration of diabetes,FBG and systolic blood pressure w ere associated with DR,and UAE and systolic blood pressure were the important risk factors related to DR.ConclusionDiabetes mellitus patients should be aware of the importance of routine ophthalmologic examination and tests for UAE,FBG and blood pressure.It is possible to reduce the incidence and inhibite the development of DR.