我院糖尿病人群常规筛查糖尿病性视网膜病变的危险因素分析

目的 分析我院糖尿病人群常规筛查糖尿病性视网膜病变危险因素。方法 采用横断面研究方法,选择2018年8月至2020年8月在我院内分泌科住院的2型糖尿病患者963例,进行糖尿病性视网膜病变早期筛查,了解糖尿病性视网膜病变患病情况,并采用统计方法分析糖尿病性视网膜病变相关的影响因素。结果 本次共调查963例糖尿病患者,发现DR患者189例,非DR患者774例,患病率19.63%,其中轻度DR 69例,占7.17%,中度DR58例,占6.02%,重度DR 54例,占5.61%、增生性DR8例,占0.83%。DR患者与非DR患者在文化程度、家族史、糖尿病病程、收缩压、舒张压、FPG、HbAlc、餐后2 h血糖、BUN、血尿酸和Scr比较,差异有统计学意义(P0.05);经逐步Logistic回归分析结果显示,糖尿病病程、FPG和HbAlc为危险因素(P0.05),文化程度为保护因素(P0.05)。结论 糖尿病病程、FPG和HbAlc为危险因素,文化程度为保护因素,因此对于病程长、血糖控制效果差及文化程度较低的糖尿病人群应重点关注。

Analysis on risk factors of diabetic retinopathy through routine screening in diabetic population in our hospital

Objective To analyze the risk factors of diabetic retinopathy through routine screening in diabetic population in our hospital.Methods In a cross-sectional study,963 patients with type 2 diabetes who were hospitalized in the Department of Endosthesia in our hospital from August 2018 to August 2020 were selected for the early screening of diabetic retinopathy,to understand the prevalence of diabetic retinopathy,and to statistically analyze the influencing factors related to diabetic retinopathy.Results A total of 963 patients with diabetes were investigated in this study,including 189 patients with DR and 774 patients without DR.The prevalence was 19.63%,including 69 patients with mild DR (7.17%),58 patients with moderate DR (6.02%),54 patients with severe DR (5.61%),and 8 patients with proliferative DR (0.83%).There were significant differences between DR patients and non-DR patients in the educational level,family history,course of diabetes,systolic blood pressure,diastolic blood pressure,FPG,HbAlc,2-hour post prandial blood glucose,BUN,blood uric acid and Scr(P<0.05).Stepwise Logistic regression analysis were used to show that the course of diabetes,FPG and HbAlc were the risk factors(P<0.05),and the education level was the protective factor (P<0.05).Conclusion The course of diabetes,FPG and HBALC are the risk factors,and the education level is the protective factor.Therefore,the diabetic population with long disease course,poor blood glucose control effect and low education level should be paid more attention to.