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2型糖尿病确诊十年后患者糖尿病视网膜病变的发生率

Frequency of diabetic retinopathy in patients after ten years of diagnosis of type 2 diabetes mellitus.

作者信息

Shaikh Mumtaz Ali, Gillani Saima

机构信息

Department of Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.

出版信息

J Ayub Med Coll Abbottabad. 2010 Jul-Sep;22(3):158-60.

Abstract

BACKGROUND

Diabetic retinopathy is one of the most common and serious complications of type 2 diabetes mellitus and a leading cause of blindness not only in Pakistan but also worldwide. So we conducted this study to record the frequency of diabetic retinopathy in known diabetic patients ten years after diagnosis of type 2 diabetes mellitus.

METHODS

The study was conducted at Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan for a period of 1 year from January 2008 to January 2010. The study group comprised of 200 patients of type 2 diabetes mellitus attending the medical clinic. All patients who were diagnosed as type 2 diabetes mellitus since ten years duration were included in the study. Retinopathy was graded into background, pre proliferative and proliferative retinopathy. Type 2 diabetes was diagnosed using the WHO criteria. Statistical analysis was carried out using the SPSS-11.

RESULTS

Diabetic retinopathy was found in 25.5% of the total Type 2 patients after ten years of diagnosis, and of these 4% of patients had proliferative retinopathy.

CONCLUSION

Type 2 diabetic patients should be screened as early as possible to prevent permanent visual loss by timely management of diabetic retinopathy because diabetes is one of most common preventable cause of blindness in the world.

摘要

背景

糖尿病视网膜病变是2型糖尿病最常见且最严重的并发症之一,不仅是巴基斯坦,也是全球失明的主要原因。因此,我们开展了这项研究,以记录2型糖尿病确诊十年后已知糖尿病患者中糖尿病视网膜病变的发生率。

方法

该研究于2008年1月至2010年1月在巴基斯坦詹姆肖罗的利亚卡特医学与健康科学大学进行,为期1年。研究组由200名到诊所就诊的2型糖尿病患者组成。所有确诊为2型糖尿病且病程达十年的患者均纳入研究。视网膜病变分为背景性、增殖前期和增殖性视网膜病变。2型糖尿病根据世界卫生组织标准进行诊断。使用SPSS-11进行统计分析。

结果

确诊十年后,25.5%的2型糖尿病患者出现糖尿病视网膜病变,其中4%的患者患有增殖性视网膜病变。

结论

2型糖尿病患者应尽早接受筛查,以便通过及时治疗糖尿病视网膜病变预防永久性视力丧失,因为糖尿病是世界上最常见的可预防失明原因之一。

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