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  本文關(guān)鍵詞： 2型糖尿病 視網(wǎng)膜病變 危險因素　出處：《新疆醫(yī)科大學(xué)》2010年碩士論文　論文類型：學(xué)位論文

【摘要】： 目的:探討影響2型糖尿病視網(wǎng)膜病變發(fā)生、發(fā)展的相關(guān)危險因素。方法:收集我院自2006年12月～2009年1月內(nèi)分泌科診斷為2型糖尿病114例住院患者資料,根據(jù)眼底熒光造影將其分為無糖尿病視網(wǎng)膜病變組(NDR組)和糖尿病視網(wǎng)膜病變組(DR組),并對其分別監(jiān)測血壓、空腹血糖(FBG)、餐后2h血糖(2hBG)、糖化血紅蛋白(HbA1c)、甘油三酯(TG)、血清總膽固醇(TC)、低密度脂蛋白(LDL)、收縮壓(SBP)、舒張壓(DBP)、24小時尿微量蛋白、血尿素(BU)、血肌酐(Cr)等指標(biāo),以及詢問糖尿病病程,進(jìn)行分析、比較兩組間差異,以及分析各因素與DR之間的相關(guān)性。結(jié)果:DR組的年齡、糖尿病病程、FBG、TC、LDL、SBP、DBP、24h尿微量蛋白與非DR組相比,差異有統(tǒng)計(jì)學(xué)意義(P 0.05) ,其他因素在兩組間差異無統(tǒng)計(jì)學(xué)意義(P 0.05)。多因素非條件Logistic回歸結(jié)果顯示:年齡、FBG與糖尿病視網(wǎng)膜病變存在明顯相關(guān)性(P 0.05),可認(rèn)為是2型糖尿病視網(wǎng)膜病變的獨(dú)立危險因素。結(jié)論:年齡大,糖尿病病程長,高血糖、高血脂、高血壓、尿微量蛋白的異常為糖尿病視網(wǎng)膜病變的危險因素,糖尿病患者嚴(yán)格控制血糖、血脂、血壓可能延緩糖尿病視網(wǎng)膜病變的發(fā)生、發(fā)展。
[Abstract]:Objective: to investigate the risk factors related to the occurrence and development of type 2 diabetic retinopathy. Methods: from December 2006 to January 2009, 114 inpatients with type 2 diabetes diagnosed by the Endocrinology Department in our hospital were collected. According to fundus fluorescein imaging, the patients were divided into two groups: nondiabetic retinopathy group (NDR group) and diabetic retinopathy group (Dr group), and their blood pressure was monitored. Fasting blood glucose (FBG), 2 h postprandial blood glucose (2hBGG), glycosylated hemoglobin (HbA1cU), triglyceride (TGG), serum total cholesterol (TC), low density lipoprotein (LDL), systolic blood pressure (SBP), diastolic blood pressure (DBP), 24 hour urine microprotein, blood urea bun (bun), serum creatinine (Cr), etc., and asking about the course of diabetes. The differences between the two groups and the correlation between the factors and Dr were analyzed. Results there were significant differences in the age, the course of diabetes and the 24 hours urine microprotein between the two groups compared with the non-Dr group (P 0.05). There was no significant difference in other factors between the two groups (P 0.05). The results of multivariate conditional Logistic regression showed that there was a significant correlation between age and diabetic retinopathy (P 0.05), which could be considered as an independent type 2 diabetic retinopathy. Risk factors. Conclusion: age, The long course of diabetes, hyperglycemia, hyperlipidemia, hypertension and abnormal urine microalbumen are the risk factors of diabetic retinopathy, diabetes patients strictly control blood glucose, blood lipid, blood pressure may delay the occurrence of diabetic retinopathy, Development
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2010
【分類號】：R774.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 馮啟芳,陳振謙,郭露萍,王芳;糖尿病視網(wǎng)膜病變與糖化血紅蛋白關(guān)系[J];廣州醫(yī)學(xué)院學(xué)報;2004年01期

2 錢志成,段艷華;107例糖尿病視網(wǎng)膜病變眼底熒光血管造影分析[J];廣東醫(yī)學(xué);2002年05期

3 孫文濤,張小玲,高嵩;糖尿病性視網(wǎng)膜病變發(fā)生發(fā)展的相關(guān)因素[J];國際眼科雜志;2005年04期

4 陸小明,梁社生,譚國萍;糖尿病性視網(wǎng)膜病變170例隨訪分析[J];國際眼科雜志;2005年03期

5 蔡景英,柳亢宗,胡繼軍;糖尿病腎病患者血脂異常及血清脂蛋白(a)與糖尿病腎病的關(guān)系[J];臨床內(nèi)科雜志;2005年06期

6 歐穗珍!545001;眼底熒光血管造影對糖尿病視網(wǎng)膜病變的診斷價值[J];臨床眼科雜志;2001年02期

7 賈萬程!272111,侯儉!272111,劉敬!272111,崔凡明!272111;糖尿病黃斑病變熒光素眼底血管造影檢查及分型探討[J];臨床眼科雜志;2001年04期

8 李昂,婁小波;糖尿病性視網(wǎng)膜病變的眼底熒光血管造影研究[J];中國現(xiàn)代醫(yī)學(xué)雜志;1999年09期

9 呂志剛,湯巧;老年2型糖尿病患者凝血指標(biāo)變化探討[J];江蘇大學(xué)學(xué)報(醫(yī)學(xué)版);2002年03期

10 何志明,梁瑜禎;2型糖尿病視網(wǎng)膜病變危險因素相關(guān)分析[J];中國慢性病預(yù)防與控制;2004年06期

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本文編號：1532455