Epidemiological investigation of diabetic retinopathy in type 2 diabetes patients in community of Jiading district of Shanghai
10.12025/j.issn.1008-6358.2017.20170560
- VernacularTitle:上海市嘉定区社区2型糖尿病患者糖尿病视网膜病变的流行病学调查
- Author:
Min-Qian SHEN
1
;
Hua YANG
;
Yuan-Zhi YUAN
;
Shan-Zhu ZHU
;
Jia-Fen WEI
;
Fei YUAN
Author Information
1. 复旦大学附属中山医院眼科
- Keywords:
type 2 diabetes mellitus;
diabetic retinopathy;
prevalence;
risk factors
- From:
Chinese Journal of Clinical Medicine
2017;24(5):723-727
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the prevalence and related risk factors of diabetic retinopathy (DR) among registered residents of type 2 diabetes mellitus in Jiading Industrial Zone Community Health Service Center,Shanghai.Methods:In this cross-sectional study,diabetic retinopathy was screened among registered residents with type 2 diabetes in Jiading Industrial Zone Community Health Service Center,Shanghai.The prevalence and risk factors of DR were evaluated by combining questionnaire and clinical examination.Results:Among 776 subjects who were chosen,695 people completed the study,and the overall response rate was 89.56％.26 cases were excluded because the refractive medium was opaque and the retina could not be seen clearly.DR was detected in 91 patients (13.60％).The mean duration of diabetes in patients with DR and without DR was (9.63±6.44) years and (7.02±5.32) years (OR=1.073,95％ CI 1.036-1.111,P＜0.001),the fasting blood glucose was (8.66±2.66) mmol/L and (7.52±2.15) mmol/L (OR=1.219,95％ CI 1.119-1.328,P＜0.001),glycated hemoglobin was (7.68±1.55)％ and (6.99±1.21)％ (OR=1.495,95％ CI 1.275-1.754,P＜0.001).There was also statistically significant difference in the use of insulin between DR patients and non-DR patients (OR=4.202,95 ％ CI 2.504-7.051,P＜0.001).Conclusions:The prevalence of DR among type 2 diabetes patients is 13.6％ in Jiading Industrial Zone,Shanghai.The longer the duration of diabetes is,the higher the fasting blood glucose is,the higher the glycosylated hemoglobin is,the greater the risk of DR will be.
