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目的 分析 2型糖尿病 (DM)患者视网膜病变的易患因素 ,为预防和干预提供依据。方法 对 80例 2型DM患者进行眼底检查 ,同时测尿白蛋白排泄率 (UAER)、血脂、血 β2微球蛋白、糖基化血红蛋白 ,并记录血压及病程等。结果 糖尿病视网膜病变 (DR)的发生率随病程延长、血压和血脂升高、尿UAER增加而明显增加 ,血糖控制不良促进其发生。结论 2型DM患者DR与病程、血压、血脂、UAER呈正相关 ,定期进行UAER和眼底检查 ,对DR的早期诊断及治疗有重要价值
Objective To analyze the predisposing factors of retinopathy in patients with type 2 diabetes mellitus (DM) and provide basis for prevention and intervention. Methods Eighty patients with type 2 DM were examined with fundus examination, urinary albumin excretion rate (UAER), blood lipids, blood β2 microglobulin, glycosylated hemoglobin, and blood pressure and duration of disease were recorded. Results The incidence of diabetic retinopathy (DR) with the duration of the disease, blood pressure and blood lipids, urine UAER increased significantly increased, poor blood sugar control to promote its occurrence. Conclusions The DR of type 2 DM patients is positively correlated with the course of disease, blood pressure, blood lipids and UAER. UAER and fundus examination are regular, which have important value in the early diagnosis and treatment of DR