102例2型糖尿病患者眼底表现临床分析

目的探讨2型糖尿病眼底病变情况及相关因素.方法对社区门诊102例2型糖尿病患者作眼底检查,结合患者血糖、糖化血红蛋白、血压、体重指数、病程等进行分析.结果在102例中糖尿病患者中,视网膜病变(DR)44(43.14%)例,其中单纯性DR患者39(38.23%)例,增殖性DR患者5(4.90%)例;糖尿病性白内障3(2.94%)例;玻璃体混浊6(5.88%)例;视网膜动脉硬化30(29.41%)例;病程为5年内患者的DR患病率为30.4%,5～10年者为57.1%,10年以上者为91.7%,DR患者糖化血红蛋白较非DR患者高,差异显著(P＜0.05).结论糖尿病患者病程、糖化血红蛋白升高与其DR发病有关,是DR发生的重要危险因素,在糖尿病社区防治中,应定期检查眼底.

Clinical analysis of fundal changes in 102 cases of type 2 diabetes mellitus

Objective To investigate the fundal changes and correlation factor of type 2 diabetes mellitus.Methods Fundus of 102 Patients with type 2 diabetes mellitus was examined from the community clinic,the results of which were analyzed in relation to blood sugar,saccharification hemoglobin,blood pressure,BMI,course of the disease ect.Results Among the type 2 diabetes mellitus 102 cases,fundus showed diabetic retnopathy(DR) in 44 patients(43.14%),including 39(38.23%)at simple DR patients,5(4.90%)at proliferative DR;3(2.94%)at diabetic cataract;6 cases(5.88%)at vitreous opacity;30(29.41%)of arteriosclerosis of retina;course of disease with 5 years,DR morbility rate for 30.4%,5~10years for 57.1%,more than 10 years for 91.7%,DR patients saccharification hemoglobin highter than non-DR patients.notable of difference(P<0.05).Conclusion DR morbidity is related to diabetes patients'course of disease and the saccharification hemoglobin goes up,and is the important danger factor that DR occurs.so ws should check fundus periodic in the diabetes Community of prophylactico-therapeutic.