Rasmidatta S, Khunsuk-Mengrai K, Warunyuwong C
Department of Ophthalmology, Chonburi Hospital, Thailand.
J Med Assoc Thai. 1998 Mar;81(3):169-74.
A prospective study was carried out in non-insulin dependent diabetic patients who attended the Diabetic Clinic of Chonburi Hospital from 1991 to 1992. Laboratory investigations, physical examination of vascular disorders, and fundus examination were done. 198 cases with complete data were analysed. Of these patients, sixty three cases had retinopathy, 54 cases had background diabetic retinopathy and 9 cases had proliferative diabetic retinopathy. The average duration of diabetes with diabetic retinopathy was 7.4 +/- 5.0 years compared to 4.8 +/- 3.6 years of diabetes without diabetic retinopathy. The mean age of patients with and without diabetic retinopathy was significantly different. The highest rate of diabetic retinopathy was in the range of 51-60 age group. Fasting blood levels of glucose, glycosylated hemoglobin, cholesterol, triglyceride, high density lipoprotein, blood pressure (both systolic and diastolic), alcohol drinking, and cigarette smoking were not different between diabetic retinopathy and non-detected diabetic retinopathy patients but inadequate exercise might be related to retinopathy.
1991年至1992年期间，对春武里医院糖尿病诊所的非胰岛素依赖型糖尿病患者进行了一项前瞻性研究。进行了实验室检查、血管疾病的体格检查和眼底检查。对198例有完整数据的病例进行了分析。在这些患者中，63例患有视网膜病变，54例患有背景性糖尿病视网膜病变，9例患有增殖性糖尿病视网膜病变。患有糖尿病视网膜病变的患者糖尿病平均病程为7.4±5.0年，而无糖尿病视网膜病变的患者糖尿病平均病程为4.8±3.6年。有和没有糖尿病视网膜病变的患者平均年龄有显著差异。糖尿病视网膜病变发生率最高的是51 - 60岁年龄组。糖尿病视网膜病变患者和未检测出糖尿病视网膜病变患者的空腹血糖水平、糖化血红蛋白、胆固醇、甘油三酯、高密度脂蛋白、血压（收缩压和舒张压）、饮酒和吸烟情况没有差异，但运动不足可能与视网膜病变有关。
