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罗马尼亚西部地区的糖尿病性黄斑水肿:进行筛查以改善患者预后。

Diabetic Macular Edema in the Western Part of Romania: Screening to Improve Patient Outcomes.

作者信息

Ivanescu Adriana, Popescu Simona, Roman Deiana, Dragomir Monica, Timar Romulus

机构信息

Second Department of Internal Medicine, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.

Opticlass Ophtalmology Clinic, 300012 Timisoara, Romania.

出版信息

J Pers Med. 2025 Mar 9;15(3):106. doi: 10.3390/jpm15030106.

DOI:10.3390/jpm15030106
PMID:40137422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11943641/
Abstract

: Diabetes mellitus (DM) is a global healthcare concern with a rising prevalence. Patients with DM have a severely diminished quality of life due to the extensive range of connected complications. One of the most impactful diabetes-associated pathologies is diabetic macular edema (DME), as it is a major cause of blindness globally. Patients with DME present many concomitant diseases that influence their prognosis. The present research seeks to describe the most frequent DME-related comorbidities. : This study enrolled 105 participants previously diagnosed with type 1 DM (T1DM) or type 2 DM (T2DM) (77 presenting with DME), who were evaluated regarding other associated comorbidities. : Patients in the DME group presented a median age of 65, with a mean disease duration of 15 years and inadequate glycemic control, reflected by a mean HbA1c of 7.5%. All patients presented at least one comorbidity, with hypertension (100%) and dyslipidemia (62.3%) being the most prevalent. Spearman analysis revealed a statistically significant correlation between DME and diabetes duration ( = 0.01), proliferative diabetic retinopathy ( = 0.004), and chronic kidney disease ( = 0.034). : Patients with DME often present multiple comorbidities that must be screened for and addressed through a multidisciplinary approach.

摘要

糖尿病(DM)是一个全球性的医疗问题,其患病率呈上升趋势。由于一系列相关并发症,糖尿病患者的生活质量严重下降。糖尿病相关的最具影响力的病理之一是糖尿病性黄斑水肿(DME),因为它是全球失明的主要原因。DME患者存在许多影响其预后的伴随疾病。本研究旨在描述最常见的与DME相关的合并症。

本研究招募了105名先前被诊断为1型糖尿病(T1DM)或2型糖尿病(T2DM)的参与者(77名患有DME),对他们的其他相关合并症进行了评估。

DME组患者的中位年龄为65岁,平均病程为15年,血糖控制不佳,平均糖化血红蛋白(HbA1c)为7.5%。所有患者至少有一种合并症,其中高血压(100%)和血脂异常(62.3%)最为常见。Spearman分析显示,DME与糖尿病病程(=0.01)、增殖性糖尿病视网膜病变(=0.004)和慢性肾脏病(=0.034)之间存在统计学上的显著相关性。

DME患者常伴有多种合并症,必须通过多学科方法进行筛查和处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0a7/11943641/48ffda1cdb94/jpm-15-00106-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0a7/11943641/48ffda1cdb94/jpm-15-00106-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0a7/11943641/48ffda1cdb94/jpm-15-00106-g001.jpg

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本文引用的文献

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Risk of diabetic retinopathy and diabetic macular oedema with sodium-glucose cotransporter 2 inhibitors and glucagon-like peptide 1 receptor agonists in type 2 diabetes: a real-world data study from a global federated database.钠-葡萄糖共转运蛋白 2 抑制剂和胰高血糖素样肽 1 受体激动剂治疗 2 型糖尿病的糖尿病视网膜病变和糖尿病黄斑水肿风险:来自全球联合数据库的真实世界数据研究。
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Metabolic Syndrome: A Strange Companion of Atrial Fibrillation; A Blessing in Disguise from the Neuropsychiatric Point of View.
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Associations between blood pressure levels and diabetic retinopathy in patients with diabetes mellitus: A population-based study.糖尿病患者血压水平与糖尿病视网膜病变之间的关联:一项基于人群的研究。
Heliyon. 2023 Jun 1;9(6):e16830. doi: 10.1016/j.heliyon.2023.e16830. eCollection 2023 Jun.
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Racial and Ethnic Distribution in Diabetic Macular Edema Clinical Trials in the United States (2002-2021).美国糖尿病性黄斑水肿临床试验中的种族和民族分布(2002-2021 年)。
Ophthalmol Retina. 2023 Dec;7(12):1035-1041. doi: 10.1016/j.oret.2023.07.015. Epub 2023 Jul 19.
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