目的:探讨2型糖尿病视网膜病变与糖尿病的前庭功能损害的相关联系.方法:收集经临床检查确诊为2型糖尿病患者80例,通过眼底荧光血管造影检查对患者的视网膜病变程度进行定级并分组,采用眼震电图描记法,对80例糖尿病患者和60例正常人进行系列的眼震检查.结果:所有糖尿病患者中,前庭功能异常的发生率为32.5％,但是不同程度的视网膜病变组中的前庭功能损害的发生率不同,发生率随着视网膜病变的程度而提高.前庭功能损害的形式在不同组别中也不相同,在视网膜血管病变较轻组,主要是周围型前庭功能异常,而在视网膜微血管病变严重组中,患者的前庭功能异常主要表现为中枢型.结论:2型糖尿病的前庭功能损害与糖尿病性的微血管病变有密切关系.%Objective:To explore the relationship between diabetic retinopathy and Vestibular dysfunction.Methods:80 patients with diabetic retinopathy were divided into different groups by fundus fluorescien angiography (FFA).Electronystagmography was used to test vestibular function for all patients and 60 control persons.Results:32.5 ％ were detected vestibular dysfunction among all the DM patients,but rates and patterns of vestibular dysfunction were different in different diabetic retinopathy (DR) groups.The more serious DR patients were easier to get vestibular damage and showed central vestibular dysfunction.Conclusion:Vestibular dysfunction is positive related with diabetic retinopathy for DM patients.
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