Rasoulinejad Seyed Ahmad, Iri Habib-Ollah
Babol University of Medical Sciences, Babol, Mazandaran, Iran.
Department of Ophtalmology, Babol University of Medical Sciences, Babol, Iran.
Caspian J Intern Med. 2015 Spring;6(2):77-81.
Diabetes is a common metabolic disorder leading to the development of many complications, among which diabetic retinopathy and macular edema are the most significant. These complications can contribute to blindness if not diagnosed or treated properly, and several studies have been conducted to evaluate the methods for the prevention or slowing down their progression. Therefore, serum lipids, apparently play an effective role in the creation and acceleration of macular edema, we therefore determined the relationship of serum lipid level in patients with diabetic macular edema in the present study.
180 participants were selected from patients with the definite diagnosis of diabetes referred to the eye clinic of Shahid Beheshti and Ayatollah Rouhani Hospitals of Babol during 2011-2012, the patients with a history of taking lipid -lowering drugs and hypertension were excluded from the study. The study data were provided from the medical records of each patients. SPSS Version 18 was used for analyses.
In the present investigation, the mean age of participants was 53.22±with the age range of 18-77 years. Ninety patients with diabetic retinopathy and macular edema were compared with ninety patients with diabetic retinopathy without macular edema (control group) were compared. There was a significant difference in serum cholesterol and LDL-cholesterol between patients and groups (p<0.000).
The results of this study indicate that high serum cholesterol and LDL-cholesterol is associated with severity of diabetic retinopathy particularly with macular edema.
糖尿病是一种常见的代谢紊乱疾病,会引发多种并发症,其中糖尿病视网膜病变和黄斑水肿最为严重。如果这些并发症未得到正确诊断或治疗,可能会导致失明,并且已经开展了多项研究来评估预防或减缓其进展的方法。因此,血清脂质显然在黄斑水肿的发生和加重过程中发挥着有效作用,所以我们在本研究中确定了糖尿病黄斑水肿患者血清脂质水平之间的关系。
从2011年至2012年期间转诊至巴博勒的沙希德·贝赫什提医院和阿亚图拉·鲁哈尼医院眼科门诊确诊为糖尿病的患者中选取180名参与者,排除有服用降脂药物史和高血压的患者。研究数据来自每位患者的病历。使用SPSS 18版进行分析。
在本调查中,参与者的平均年龄为53.22岁,年龄范围为18至77岁。将90例患有糖尿病视网膜病变和黄斑水肿的患者与90例患有糖尿病视网膜病变但无黄斑水肿的患者(对照组)进行比较。患者与组间血清胆固醇和低密度脂蛋白胆固醇存在显著差异(p<0.000)。
本研究结果表明,高血清胆固醇和低密度脂蛋白胆固醇与糖尿病视网膜病变的严重程度相关,尤其是与黄斑水肿相关。