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王玲, 王建华, 许瀛海. 非胰岛素依赖型糖尿病视网膜病变危险因素的探讨[J]. 中国公共卫生, 2001, 17(12): 1079-1080. DOI: 10.11847/zgggws2001-17-12-14
引用本文: 王玲, 王建华, 许瀛海. 非胰岛素依赖型糖尿病视网膜病变危险因素的探讨[J]. 中国公共卫生, 2001, 17(12): 1079-1080. DOI: 10.11847/zgggws2001-17-12-14
WANG Ling, . Study on Risk Factors of Diabetic Retionpathy[J]. Chinese Journal of Public Health, 2001, 17(12): 1079-1080. DOI: 10.11847/zgggws2001-17-12-14
Citation: WANG Ling, . Study on Risk Factors of Diabetic Retionpathy[J]. Chinese Journal of Public Health, 2001, 17(12): 1079-1080. DOI: 10.11847/zgggws2001-17-12-14

非胰岛素依赖型糖尿病视网膜病变危险因素的探讨

Study on Risk Factors of Diabetic Retionpathy

  • 摘要: 目的 采用1:1配比的病例对照研究对DR患病的危险因素进行了初步探讨.方法 采用条件Logistic回归分析程序对105名DR病例和对照进行分析.结果 单因素分析显示:糖尿病病程,糖尿病诊断年龄,高血压,SBP,尿蛋白,使用胰岛素治疗与糖尿病视网膜病变有关.经多因素分析进入主效应模型的因素为病程,其OR=2.32(95%CI:1.32~4.05);SBP,其OR=4.78(95%CI:1.83~12.52);尿蛋白,其OR=1.9(95%CI:1.21~2.99);胰岛素使用量,其OR=1.98(95%CI:1.05~3.74).吸烟,饮酒,饮茶,运动锻炼,社会经济状况,看书时间,社会心理因素以及BMI与DR无关.结论 在糖尿病人群中,DR发生的危险因素为病程长,使用胰岛素治疗,尿蛋白增高和SBP增高.

     

    Abstract: Objective To investigate the risk factors of DR.A 1:1 matched case-control study was conducted.Methods The data of 105 pairs of cases and controls were analysed by Conditional logistic regression analysis.Results Univariate analysis suggested that increased duration of DM,younger age at diabetic diagaosis,increased SBP,hypertension,using exogenous insulin,increased uricalbumin were risk factors of DR.The variables entered into major effect model,were duration of DM,OR=2.32(95% CI:1.32-4.05);SBP,OR=4.78(95%CI:1.83-12.52);uricalbumin,OR=1.90(95%CI:1.21-2.99);Using quantity of insulin,OR=1.98(95%CI:1.05-3.74).Several other factors including cigarette smoking,alcohol consumption,tea consumption,physical activity,psychosocial factors,socioeconomic status and reading time,had no significant association with DR.Conclusion The main risk factors of DR were long duration,using exogenous insulin,increased uricalbamin and SBP in diabeteic population.

     

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