论文部分内容阅读
目的对体检公务员患糖尿病视网膜病变的情况进行分析,为临床防治提供依据。方法以2012年1-6月在广东省人民医院进行体检的1526名公务员为研究对象,调查内容包括基本情况、相关病史资料、相关实验室检查,并进行常规眼科检查等。结果研究对象的糖尿病患病率为15.66%(239/1526),并发糖尿病视网膜病变的患病率为32.64%(78/239)。糖尿病视网膜病变的患病率在不同性别和不同年龄段之间差异无统计学意义(P>0.05)。糖尿病视网膜病变组与非糖尿病视网膜病变的糖尿病组的身高、体重、空腹血糖、糖化血红蛋白、甘油三脂、高密度脂蛋白、低密度脂蛋白比较差异无统计学意义(P>0.05),而两组间的病程、收缩压、舒张压、餐后2h血糖、总胆固醇、血肌酐、尿素氮比较差异具有统计学意义(P<0.05)。结论该研究人群糖尿病视网膜病变患病率高,糖尿病视网膜病变患者同时患高血压、高胆固醇、肾功能异常等全身异常的几率大。
Objective To analyze the situation of diabetic retinopathy in medical examination civil servants and provide the basis for clinical prevention and treatment. Methods A total of 1,526 civil servants who conducted physical examinations in Guangdong Provincial People’s Hospital from January to June of 2012 were selected as the research objects. The investigation included basic information, relevant medical history, laboratory tests and routine ophthalmic examinations. Results The prevalence of diabetes mellitus was 15.66% (239/1526) and the prevalence of diabetic retinopathy was 32.64% (78/239). The prevalence of diabetic retinopathy had no significant difference between different genders and different age groups (P> 0.05). There was no significant difference in height, weight, fasting blood glucose, glycosylated hemoglobin, triglyceride, high density lipoprotein, and low density lipoprotein in diabetic retinopathy and nondiabetic retinopathy (P> 0.05) The course of disease, systolic blood pressure, diastolic blood pressure, postprandial 2h blood glucose, total cholesterol, serum creatinine and blood urea nitrogen were significantly different (P <0.05). Conclusion The prevalence of diabetic retinopathy in this study population is high. Patients with diabetic retinopathy also have high risk of systemic abnormalities such as hypertension, hypercholesterolemia and renal dysfunction.