应用免散瞳眼底照相技术对糖尿病视网膜病变筛查及相关危险因素的分析

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1、遵义医学院硕士学位论文应用免散瞳眼底照相技术对糖尿病视网膜病变的筛查及相关危险因素分析姓名：王利申请学位级别：硕士专业：内科学（内分泌与代谢病）指导教师：李蓬秋201205遵义医学院硕士学位论文中文摘要4、DR组的体重指数、空腹C肽及胰岛素抵抗指数与NC组无明显差异，DR组有吸烟史的患者人数与NC组亦无明显差异。5、采用logistic回归分析排除干扰因素后显示：年龄、病程、女性、糖化血红蛋白、收缩压、合并DPN为DR的独立危险因素。结论：本研究中DR的患病率为43．31％，女性DR的患病率显著高于男性。年龄较大、病程较长、糖化血红蛋白高、收缩压高、血尿酸高以及合并糖尿

2、病周围神经病变、合并饮酒史的患者，DR的患病率增高。年龄、病程、女性、糖化血红蛋白、收缩压及合并DPN为DR的独立危险因素。关键词2型糖尿病；糖尿病视网膜病变；免散瞳眼底照相；危险因素2遵义医学院硕士学位论文英文摘要ApplicationfreemydriaticfundusphotographyfordiabeticretinopathyscreeningandriskfactorsanalysisAbstractObjectiveApplicationfreedilatedfundusphotographytodetecttype2diabetesmellitus(

3、T2DM)patientsfundus，tounderstandtheprevalenceofdiabeticretinopathy(DR)，combinedwiththelifestyle，complicationsandthedetectionofrelatedmetabolic，analysisofriskfactorsassociatedwithDRSOastoachievethepurposeofearlyprevention,earlydetection,earlytreatmentforDR．MethodsAccordingtothe1999WorldHe

4、althOrganization(WHO)todevelopdiabetesdiagnosisandclassificationstandards，fortheperiodNovember2010toDecember201intheSichuanProvincialPeoplesHospitalDepartmentofEndocrinology,outpatientandinpatientdiagnosisandtreatmentof1674patientswithT2DM，toUSefreemydriaticfunduscameraphotographyprevale

5、nceDR,andinaccordancewiththe2002DRinternationalclinicalstaging，patientsweredividedintotwogroups：non-diabeticretinopathygroup(NCgroup)andDRgroup，theDRgroup，includingn．on。proliferativediabeticretinopathyandproliferativediabeticretinopathy．Extractedsubjects，fastingvenousbloodglycatedhemoglo

6、bin,liplids，blooduricacid,renalfunction；oralglucosetolerancetese，thedetectionofC-peptideandinsulin；collect24hoursurine，urineproteinexcretioninsomepatientsdetected；specimensfromarandomurinecheckurineprotein／creatinine；partofthepatientsunderwentEMGtesting．Analysisoftheseindicatorsandtherel

7、ationshipResult1Astudyweredetectedinsubjects1674cases，andultimatelyincorporatedintothedataanalysisof1263casesmettheindusioncriteria，theaverageage(57．75士12．84)yearsofage，themeanduration(5．93士5．74)years．NDR716patients(56．69％)，theDR547patients(43．3l％)．ThewomenofDRprevalencew