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目的:探讨2型糖尿病患者视网膜病变(DR)与骨密度(BMD)的关系。方法:检查了63例2型糖尿病患者视网膜,分为A组即正常组、B组单纯性视网膜病变组、C组增殖性视网膜病变组,并分别测定其L2～4椎体、双侧股骨Ward区BMD。结果:除A组患者BMD与对照组无明显差异(p>0.05);B、C组患BMD与对照组差异明显(p<0.01);糖尿病患者中,C组BMD明显低于A组(p<0.01)。结论:糖尿病视网膜病变患者BMD比正常人低,增殖性视网膜病变组BMD较其它组显著下降。
Objective: To investigate the relationship between retinopathy (DR) and bone mineral density (BMD) in type 2 diabetic patients. Methods: Retina was examined in 63 patients with type 2 diabetes mellitus, divided into group A, normal group, group B simple retinopathy and group C proliferative retinopathy, and their L2 ~ 4 vertebrae and bilateral femur Ward District BMD. Results: There was no significant difference in the BMD between the two groups (p> 0.05). The BMD in group B and C was significantly different from that in control group (p <0.01). In diabetic group, the BMD in group C was significantly lower than that in group A <0.01). CONCLUSION: Patients with diabetic retinopathy have lower BMD than normal controls and BMD in proliferative retinopathy is significantly lower than those in other groups.