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上海市嘉定区社区2型糖尿病患者糖尿病视网膜病变的流行病学调查

  • 摘要: 目的:调查上海市嘉定区社区2型糖尿病管理在册的居民糖尿病视网膜病变(diabetic retinopathy,DR)的患病率及相关危险因素。方法:采用横断面现场调查法对上海市嘉定工业区社区卫生服务中心2型糖尿病管理在册的居民进行DR的筛查,以问卷调查与临床检查相结合的方式对DR的患病率及高危因素进行评估。结果:776例研究对象中,共695例实际参与调查,应答率为89.56%。26例由于屈光介质混而不能看清视网膜,被剔除。检出DR 91例(13.60%)。DR患者和无DR患者的糖尿病病程分别为平均(9.63±6.44)年、(7.02±5.32)年(OR=1.073,95%CI 1.036~1.111,P<0.001),空腹血糖分别为(8.66±2.66) mmol/L、(7.52±2.15) mmol/L(OR=1.219,95%CI 1.119~1.328,P<0.001),糖化血红蛋白分别为(7.68±1.55)%、(6.99±1.21)%(OR=1.495,95%CI 1.275~1.754,P<0.001),差异均有统计学意义。DR患者和无DR患者使用胰岛素比例差异有统计学意义(OR=4.202,95%CI 2.504~7.051,P<0.001)。结论:上海市嘉定工业区社区2型糖尿病患者DR的患病率为13.60%;糖尿病病程越长、空腹血糖水平越高、糖化血红蛋白水平越高,2型糖尿病患者DR的患病风险越大。

     

    Abstract: Objective:To investigate the prevalence and related risk factors of diabetic retinopathy (DR) among registered residents of type 2 diabetes mellitus in Jiading Industrial Zone Community Health Service Center, Shanghai. Methods:In this cross-sectional study, diabetic retinopathy was screened among registered residents with type 2 diabetes in Jiading Industrial Zone Community Health Service Center, Shanghai. The prevalence and risk factors of DR were evaluated by combining questionnaire and clinical examination. Results: Among 776 subjects who were chosen, 695 people completed the study, and the overall response rate was 89.56%. 26 cases were excluded because the refractive medium was opaque and the retina could not be seen clearly. DR was detected in 91 patients (13.60%). The mean duration of diabetes in patients with DR and without DR was (9.63±6.44) years and (7.02±5.32) years (OR=1.073, 95% CI 1.036-1.111, P<0.001), the fasting blood glucose was (8.66±2.66) mmol/L and (7.52±2.15) mmol/L (OR=1.219, 95% CI 1.119-1.328, P<0.001), glycated hemoglobin was (7.68±1.55)% and (6.99±1.21)% (OR=1.495, 95% CI 1.275-1.754, P<0.001), and the differences were all statistically significant. There was also statistically significant difference in the use of insulin between DR patients and non-DR patients (OR=4.202, 95% CI 2.504-7.051, P<0.001). Conclusions: The prevalence of DR among type 2 diabetes patients is 13.6% in Jiading Industrial Zone, Shanghai. The longer the duration of diabetes is, the higher the fasting blood glucose is, the higher the glycosylated hemoglobin is, the greater the risk of DR will be.

     

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