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目的:研究分析老年糖尿病患者并发眼底病变的临床表现以及相关因素联系。方法:选取A院2012年3月-2014年8月收治的124例老年糖尿病患者作为研究对象,采取眼底检查,观察眼底病变的发生率,按照是否并发眼底病变分为非眼底病变组以及眼底病变组,对两组患者的临床症状表现以及各项临床资料进行回顾性分析。结果:两组患者的男女比例、年龄以及同等病程内的高血压发病概率对比,差异无统计学意义(P>0.05);两组患者的血糖控制和糖化血红蛋白清空情况对比,差异显著(P<0.05),具有统计学意义。结论:老年糖尿病并发眼底病变患者概率较高,主要临床症状表现为白内障、玻璃体混浊、增值性眼底病变、视网膜病变、单纯性等多种并发和单发,眼底病变发病概率与年龄以及性别没有明显的联系,糖尿病患者若血糖控制不稳定、病程比较长,并发高血压情况时会导致眼底病变的发生率明显增加。
Objective: To study and analyze the clinical manifestations and related factors in the elderly with diabetic retinopathy. Methods: A total of 124 diabetic patients aged from March 2012 to August 2014 in A hospital were enrolled in this study. Fundus examination was used to observe the incidence of fundus lesions. According to whether there were complicated fundus lesions, the patients were divided into non-fundus lesions and fundus lesions Group, the two groups of patients with clinical symptoms and clinical data were retrospectively analyzed. Results: There was no significant difference in the incidence of hypertension between the two groups (P> 0.05). There was significant difference between the two groups in the control of blood glucose and the clearance of HbA1c (P < 0.05), with statistical significance. Conclusion: The incidence of diabetic retinopathy in elderly patients with high probability of the main clinical symptoms of cataract, vitreous opacity, proliferative retinal lesions, retinopathy, simple and other complicated and single, the incidence of retinopathy and age and gender did not significantly The link between diabetic patients with unstable blood glucose control, longer course of disease, complicated by high blood pressure will lead to a significant increase in the incidence of retinopathy.