Shriwas S R, Rahman Isa A B, Reddy S C, Mohammad M, Mohammad W B, Mazlan M
Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan.
Med J Malaysia. 1996 Dec;51(4):447-52.
Few attempts have been made to determine the risk factors for diabetic retinopathy which is a major cause of visual impairment and blindness. One hundred and forty patients of diabetes mellitus were studied to determine the prevalence and types of retinopathy, and its relation to various risk factors. Nearly half (48.6%) of the patients suffered from retinopathy. The significant associated risk factors were long duration of diabetes, proteinuria and elevated serum creatinine level. However, there was no significant association between the prevalence of retinopathy and high levels of serum cholesterol, C-peptide levels, associated hypertension, and glycaemic control of diabetes mellitus. An effective screening programme for detection of retinopathy in the patients of diabetes as a regular practice is encouraged.
糖尿病视网膜病变是视力损害和失明的主要原因，但很少有人尝试确定其风险因素。对140名糖尿病患者进行了研究，以确定视网膜病变的患病率、类型及其与各种风险因素的关系。近一半（48.6%）的患者患有视网膜病变。显著相关的风险因素是糖尿病病程长、蛋白尿和血清肌酐水平升高。然而，视网膜病变的患病率与高血清胆固醇水平、C肽水平、合并高血压以及糖尿病的血糖控制之间没有显著关联。鼓励开展一项有效的筛查计划，作为常规做法对糖尿病患者进行视网膜病变检测。
