|本期目录/Table of Contents|

[1]陈芳,余青松,黄文明.广东省肇庆农村地区40岁及其以上人群糖尿病视网膜病变患病情况调查[J].慢性病学杂志,2019,20(05):667-670.
　CHENFang,YUQing-song,HUANGWen-ming.Epidemiology study on the occurrence of diabetic retinopathy in rural residents aged40and over in Zhaoqing, Guangdong province[J].,2019,20(05):667-670.
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广东省肇庆农村地区40岁及其以上人群糖尿病视网膜病变患病情况调查(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
20
期数:
2019年05期
页码:
667-670
栏目:
论　著
出版日期:
2019-05-28

文章信息/Info

Title:
Epidemiology study on the occurrence of diabetic retinopathy in rural residents aged40and over in Zhaoqing, Guangdong province
作者:
陈芳; 余青松; 黄文明
广东省肇庆医学高等专科学校，广东 肇庆 526000
Author(s):
CHENFang; YUQing-song; HUANGWen-ming
GuangdongZhaoqingMedical College, Zhaoqing, Guangdong526000,China Correspondingauthor:CHENFang,E-mail:morning522@163.com
关键词:
糖尿病视网膜病变; 流行病学
Keywords:
Diabetic retinopathy;  Epidemiology
分类号:
R587.1
DOI:
-
摘要:
目的 调查广东省肇庆农村地区40岁及其以上糖尿病（DM）人群糖尿病视网膜病变（DR）患病情况， 并分析其危险因素。方法 选取2016年6月—2018年2月广东省肇庆市乡镇卫生院慢性病医疗档案为基础，对 1 242例40岁及以上DM患者进行普查。DM的诊断采用1999年WHO推荐的标准。DR的诊断分级按2014年 《我国糖尿病视网膜病变临床诊疗指南》。所有患者进行了问卷调查、血压、空腹血糖、视力、裂隙灯显微镜、直 接检眼镜和（或）间接检眼镜检查等项目，采用统计软件SPSS20.0对数据进行统计学分析。结果 实际受检人 数1 080例，受检率为86.96%。DM患者中，检出DR患者198例，患病率为18.33%，非增殖型DR（NPDR） 和增殖期DR（PDR）的患者病率分别为16.11%和2.22%。DR组平均病程长，空腹血糖水平高，高血压患病率 高，差异有统计学意义（P<0.05）。DM病程是DR患病的独立危险因素（r=0.124，P=0.014），高血糖、合并有 高血压是影响DR病情发展的重要因素（r=0.308、0.459，P=0.006、0.015）。结论 肇庆农村地区40岁以上 DM人群中DR患病率较高，DM病程、高血糖及同时合并有高血压病变是DR发生、发展的危险因素。
Abstract:
Objective To investigate the prevalence rate of diabetic retinopathy（DR）in rural diabetic residents at the age of ≥40 years in Zhaoqing, and to analyze the risk factor of DR. Methods On the basis of an established chronic disease resident health data from June 2016 to February 2018, a ep-idemiology study was performed on 1 242 diabetes mellitus（DM）residents（≥40 years old）in the ru-ral area of Zhaoqing. The diagnosis of DM was based on the criteria recommended by WHO in 1999. DR was classified according to2014 guidelines for clinical diagnosis and treatment of diabetic retinopa-thy in China. All patients underwent the questionnaire, blood pleasure test, fasting blood glucose test, visual acuity test, slit-lamp biomicroscopy test, direct ophthalmoscopy or undirect ophthalmoscopy test. The data were statistically analyzed by SPSS20.0 software. Results A total of1 080 diabetic resi-dents were included in this study, and the inclusion rate was 86.96%. In DM patients, there was198 DR patients（18.30%）. The prevalence of non-proliferative DR and proliferative DR was 16.11% and 2.22%, respectively. There was long average course of disease, high level of fasting blood sugar and the prevalence of hypertension in DR group, and the differences were statistically significant （P< 0.05）. The duration of diabetes was confirmed as the independent risk factor of DR prevalence （r=0.124, P=0.014）, and high fasting blood-glucose and combined with hypertension were the important influence factors of the development of DR（r=0.308, 0.459, P=0.006, 0.015）. Conclusion The in-cidence of DR is high in the rural diabetic residents at the age of ≥40 years in Zhaoqing．The dura-tion of diabetes, high blood glucose and hypertension are the risk factors of DR．

参考文献/References:


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备注/Memo

备注/Memo:
基金项目：广东省肇庆市科技创新计划项目（2016040303-5） 作者简介：陈芳，硕士研究生，副主任医师，研究方向：角膜病 通信作者：陈芳，E-mail：morning522@163.com
更新日期/Last Update: 2019-05-28