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目的对台州市中医院收治的农村户籍糖尿病患者的相关资料进行回顾性分析,旨在明确其糖尿病视网膜病变(DR)发生的相关危险因素,为针对性的干预措施实施提供依据。方法对在台州市中医院眼科就诊的398例农村户籍糖尿病患者的进行相关检查,并对DR发生的危险因素进行单因素和多因素分析。结果农村糖尿病患者DR发生率明显高于城镇患者,差异存在着统计学意义(χ~2=5.74,P<0.05);不同年龄、文化程度、家庭人均月收入、糖尿病分型、病程、合并高血压、糖化血红蛋白、餐后2 h血糖、尿蛋白的农村糖尿病患者DR发生率有差异,且差异存在着统计学意义(P<0.05);Logistic回归分析结果提示:文盲、家庭人均月收入<1000元、病程≥10年、合并高血压、糖化血红蛋白≥8%和尿蛋白≥100 mg/L是导致DR发生的危险因素(OR>1,P<0.05)。结论文化程度、家庭人均月收入、糖尿病病程、血压情况、糖化血红蛋白和尿蛋白等与农村糖尿病患者DR的发生关系密切。
Objective To retrospectively analyze the related data of rural domiciled diabetic patients admitted in Taizhou Traditional Chinese Medicine Hospital so as to clarify the relevant risk factors of diabetic retinopathy (DR) and provide the basis for the implementation of targeted interventions. Methods A total of 398 cases of rural household diabetic patients treated in ophthalmology department of Taizhou Hospital of Traditional Chinese Medicine were inspected, and the risk factors of DR were analyzed by single factor and multivariate analysis. Results The prevalence of DR in rural diabetic patients was significantly higher than that in urban patients (χ ~ 2 = 5.74, P <0.05). The average age, educational level, per capita monthly household income, type of diabetes, duration of disease, combined high The incidence of DR in rural diabetes patients with blood pressure, glycosylated hemoglobin, 2-hour postprandial blood glucose and urine protein were significantly different (P <0.05). Logistic regression analysis indicated that illiteracy, average monthly family income <1000 Yuan, duration of more than 10 years, with hypertension, glycosylated hemoglobin≥8% and urinary protein≥100 mg / L were the risk factors of DR (OR> 1, P <0.05). Conclusion The educational level, per capita monthly household income, duration of diabetes, blood pressure, glycosylated hemoglobin and urinary protein are closely related to the occurrence of DR in rural diabetics.