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目的:探讨Ⅱ型糖尿病(NIDDM)患者并发糖尿病性视网膜病变(DR)临床发病的规律及与各种发病因素的关系。方法:对304例NIDDM患者进行病史调查、眼科检查及实验室检查,分类分析相关发病因素。结果:本组NIDDM患者中DR总发生率为40.8%,其中单纯型视网膜病变(BDR)发生率高于增殖型视网膜病变(PDR);随着患者年龄的增长、病程的延长,以及伴发高血压和晶状体后囊下皮质混浊,BDR和PDR的发生率均随之增加。结论:长病程、高龄、伴有高血压和晶状体后囊下皮质混浊是NIDDM患者发生DR的重要危险因素
Objective: To investigate the regularity of the pathogenesis of type 2 diabetes mellitus (NIDDM) complicated with diabetic retinopathy (DR) and its relationship with various risk factors. Methods: 304 cases of NIDDM patients were investigated by history, ophthalmology and laboratory tests, classification analysis of the relevant risk factors. Results: The overall incidence of DR was 40.8% in patients with NIDDM. The incidence of simple retinopathy (BDR) was higher than that of proliferative retinopathy (PDR). With the increase of patients’ age, High blood pressure and posterior subcapsular cortex turbidity, the incidence of BDR and PDR are increased. Conclusion: Long course of disease, advanced age, hypertension and posterior subcapsular cortical opacity are important risk factors of DR in NIDDM patients