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新诊断2型糖尿病患者视网膜微血管异常的临床特征及危险因素研究

Study on the clinical characteristics and risk factors of retinal microvascular abnormality in newly diagnosed patients with type 2 diabetes mellitus
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摘要 目的:研究新诊断2型糖尿病患者视网膜微血管异常的临床特征及危险因素。方法:2017年1月-2019年1月收治新诊断2型糖尿病患者320例,根据是否伴有视网膜微血管异常分为两组,各160例。所有患者均进行免散瞳眼底摄片。比较两组患者基本资料、低密度脂蛋白胆固醇及肾小球滤过率(eGFR)。结果:年龄、高血压、低密度脂蛋白胆固醇、eGFR均为视网膜微血管异常的危险因素,相关性显著(P<0.05)。结论:临床上新诊断2型糖尿病患者发生视网膜微血管异常的患病率较高,并且随着患者年龄增长,患病率也会逐渐升高,高血压、低密度脂蛋白胆固醇、eGFR均为影响该类患者的危险因素。 Objective:To study the clinical characteristics and risk factors of retinal microvascular abnormality in newly diagnosed patients with type 2 diabetes mellitus.Methods:From January 2017 to January 2019,320 patients with newly diagnosed type 2 diabetes mellitus were selected and they were divided into the two groups according to whether there was accompanied by retinal microvascular abnormalities,with 160 patients in each group.All patients were treated with non-mydriatic fundus camera.Basic data,low density lipoprotein cholesterol and estimated glomerular filtration rate(eGFR)were compared between the two groups.Results:Age,hypertension,low density lipoprotein cholesterol and eGFR were the all risk factors for retinal microvascular abnormality,the correlation was significant(P<0.05).Conclusion:Clinically,the prevalence of retinal microvascular abnormalities in newly diagnosed patients with type 2 diabetes mellitus is higher,and the prevalence will increase gradually with the age of the patients,hypertension,low density lipoprotein cholesterol and eGFR are the all risk factors affecting these patients.
作者 王美玲 Wang Meiling(Community Health Service Center of Tianping Street,Xuhui District,Shanghai City,Shanghai 200031)
出处 《中国社区医师》 2020年第26期66-67,共2页 Chinese Community Doctors
关键词 新诊断2型糖尿病 视网膜微血管异常 临床特征 危险因素 New diagnosis type 2 diabetes mellitus Retinal microvascular abnormality Clinical characteristics Risk factors
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