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刘艳, 马葆华, 卢明俊. 糖尿病视网膜病变与血糖水平关系的研究[J]. 中国公共卫生, 2001, 17(5): 404-405. DOI: 10.11847/zgggws2001-17-05-15
引用本文: 刘艳, 马葆华, 卢明俊. 糖尿病视网膜病变与血糖水平关系的研究[J]. 中国公共卫生, 2001, 17(5): 404-405. DOI: 10.11847/zgggws2001-17-05-15
LIU Yan, . A Study on the Relationship between Diabetic Retinopathy(DR) and Level of Blood Glucose[J]. Chinese Journal of Public Health, 2001, 17(5): 404-405. DOI: 10.11847/zgggws2001-17-05-15
Citation: LIU Yan, . A Study on the Relationship between Diabetic Retinopathy(DR) and Level of Blood Glucose[J]. Chinese Journal of Public Health, 2001, 17(5): 404-405. DOI: 10.11847/zgggws2001-17-05-15

糖尿病视网膜病变与血糖水平关系的研究

A Study on the Relationship between Diabetic Retinopathy(DR) and Level of Blood Glucose

  • 摘要: 目的 探讨糖尿病视网膜病变(DR)与血糖水平的关系.方法 采用非条件病例-对照研究,对DR发生的影响因素进行Logistic回归分析.结果 经多因素逐步回归分析,筛选出5个有意义的因素:尿微量白蛋白指数ALB/Cr、早餐前血糖、糖化血红蛋白HbA1c,神经系统病变史、糖尿病病程.结论 综合不同情况认为早餐前血糖7.90mmol/L是预防DR发生的可建议的血糖水平,7.15mmol/L则是较为严格控制DR发生的血糖水平.

     

    Abstract: Objective To investigate the relationship between Diabetic Retinopathy(DR) and Level of Blood Glucose.Methods In the non conditinol case control study,the factors for the occurrence of DR were screened by Logistic regression analysis.Results Five significant independent factors for the occurrence and development of DR were screened out,which were urinary micro albumin excretion index(ALB/Cr),blood glucose before breakfast,glycosylated hemoglobin(HbA1c),neural medical history and course of diabetes mellitus(DM).Conclusion The suggestible threshold value of blood glucose before breakfast is 7.90mmol/l at which we can prevent the occurrence of DR;at 7.15mmol/L,occurence of DR can be strictly controlled.

     

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