糖尿病视网膜病变374例临床分析 |
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引用本文: | 牛小燕,吕春华,吴苏冬,齐学林,崔燕. 糖尿病视网膜病变374例临床分析[J]. 实用口腔医学杂志, 2002, 31(1): 14-16 |
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作者姓名: | 牛小燕 吕春华 吴苏冬 齐学林 崔燕 |
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作者单位: | [1]西安交通大学第一医院710061 [2]陕西省咸阳市第二人民医院 |
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摘 要: | 目的 探讨糖尿病视网膜病变 (DR)的临床特点。方法 1将 374例患者分为非糖尿病视网膜病变 (NDR)、背景型糖尿病视网膜病变 (BDR)、增生型糖尿病视网膜病变 (PDR)三组 ,分析比较三组的临床指标。2将 374例患者分别分为肥胖组、非肥胖组 ;高血压组、非高血压组 ,分别探讨肥胖及高血压对 DR发病率的影响。结果 1HDR、BDR、PDR三组病程、糖化血红蛋白 (Hb A1 c)、血脂代谢紊乱程度差异均有显著性。 2肥胖组DR发病率显著高于非肥胖组。 3高血压组 DR发病率显著高于非高血压组。结论 糖尿病病程、血糖控制程度、血脂代谢紊乱、肥胖、高血压等因素均在 DR的发生发展中起一定作用。
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关 键 词: | 糖尿病视网膜病变 肥胖 高血压 脂质代谢 糖化血红蛋白 |
修稿时间: | 2001-11-19 |
A clinical analysis of 374 cases of diabetic retinopathy |
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Abstract: | Objective To investigate the clinic features of diabetic retinopathy (DR).Methods 374 cases of diabetes mellitus (DM) were collected from the First Hospital of Xi′an Jiaotong University.①The cases were divided into 3 groups according to prevalence and severity of DR,i.e.nondiabetic retinopathy (NDR) group,background diabetic retinopathy (BDR) group,and proliferative diabetic retinopathy (PDR) group.②The cases were divided into non obesity group and obesity group according body mass index (BMI),comparing the incidence of DR between the two groups.③The cases were also divided into non hypertension group and hypertension group,compareing the incidence of DR between the two groups.Results ①There existed apparent differences of glycosylated hemoglobin (HbA_1c),dyslipidemia among the three groups during their DM period.②The DR incidence in obesity group was significantly higher than in non obesity group.③The DR incidence in hypertension group was higher than in non hypertension group.Conclusion Duration of DM,HbA_1c,dyslipidemia,obesity,hypertension all play a role in the onset and development of DR to some extent. |
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Keywords: | Diabetic retinopathy Obesity Hypertension Dyslipidemia Glycosylated hemoglobin |
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