Amin Zulfiqar Ali, Islam Qamar Ul, Mehboob Mohammad Asim
Dr. Zulfiqar Ali Amin, FCPS (Med), FCPS (Medical Oncology). Department of Medicine, PNS Shifa Hospital, Karachi, Pakistan.
Dr. Qamar Ul Islam, FCPS (Ophthalmology), FCPS (VRO). Department of Ophthalmology, PNS Shifa Hospital, Karachi, Pakistan.
Pak J Med Sci. 2016 Nov-Dec;32(6):1349-1353. doi: 10.12669/pjms.326.11056.
To compare serum cholesterol, TG, HDL-C and LDL-C concentrations between type-2 Diabetes mellitus (DM) patients with retinopathy and without retinopathy and to study association between various modifiable risk factors of Diabetic retinopathy (DR).
The study included 300 patients with type 2 DM; 140 of them were without DR (Group-I) and 160 were with DR (Group-II). Serum total cholesterol, LDL-C, HDL-C, and TG levels were determined. SPSS 17.0 for windows was used for statistical analysis.
Overall, mean age of study population was 48.86 ± 5.62 years. Subjects with DR were older ( < 0.018), had higher fasting plasma glucose ( < 0.01) and higher HbA1c ( <0.01) concentrations compared with those without DR. Analysis of serum cholesterol, LDL-C, HDL-C and TG among subgroups of patients with no DR, with NPDR and PDR showed statistically significant difference (p <0.01). There was strong positive correlation of severity of DR with BSF, HbA1c, serum LDL-C, total cholesterol and TG.
The serum cholesterol, TG, HDL-C and LDL-C concentrations were found to be significantly deranged in patients with DR as compared to those without DR.
比较2型糖尿病(DM)视网膜病变患者与无视网膜病变患者的血清胆固醇、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)浓度,并研究糖尿病视网膜病变(DR)各种可改变危险因素之间的关联。
该研究纳入300例2型糖尿病患者;其中140例无DR(I组),160例有DR(II组)。测定血清总胆固醇、LDL-C、HDL-C和TG水平。使用Windows版SPSS 17.0进行统计分析。
总体而言,研究人群的平均年龄为48.86±5.62岁。与无DR的患者相比,有DR的患者年龄更大(<0.018),空腹血糖更高(<0.01),糖化血红蛋白(HbA1c)浓度更高(<0.01)。对无DR、非增殖性糖尿病视网膜病变(NPDR)和增殖性糖尿病视网膜病变(PDR)患者亚组的血清胆固醇、LDL-C、HDL-C和TG分析显示差异有统计学意义(p<0.01)。DR的严重程度与血糖波动幅度(BSF)、HbA1c、血清LDL-C、总胆固醇和TG呈强正相关。
与无DR的患者相比,DR患者的血清胆固醇、TG、HDL-C和LDL-C浓度明显紊乱。