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首页> 外文期刊>The Egyptian Journal of Hospital Medicine >Prevalence and Potential Risk Factors of Diabetic Retinopathy among Type 2 Diabetics Patients in Diabetic Center, Taif City, KSA
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Prevalence and Potential Risk Factors of Diabetic Retinopathy among Type 2 Diabetics Patients in Diabetic Center, Taif City, KSA

机译：KSA陶氏省泰法仪中心2型糖尿病患者糖尿病性视网膜病变的患病率和潜在危险因素

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Background: diabetic retinopathy is the most common microvascular complication of diabetes mellitus (DM) and a primary leading cause of irreversible visual impairment. Timely risk based screening of DR progression is crucial . Materials and Methods: a cross-sectional study was conducted between October-December 2016 at Diabetic Center, Taif city by assessing fundus photographs of type 2 Diabetics. Furthermore, we analysed the DR potential risk factors including demographic, duration of diabetes, [HbA1c], type of anti-diabetic drugs, dyslipidemia, [BMI]. Results: a total of 213 diabetic patient were included, 34 (16%) have DR with mean years of age 54.14 (13.12) and males were 19 (55.88%) and females 15 (44.12%). its mean of duration was 4.4 (4.5) months. DM duration's mean was 15.6 year and SD was (10.26). Also, HbA1c mean (SD) was 8.11 (1.99). HbA1c% mean (SD) was 8.57 (1.88). Insulin only was the management of DM in 8 (23.53%) while oral hypoglycemic drugs only were used by 6 (17.65%) and the use of both was the treatment of 19 (55.88%) patients. Systematic diseases as dyslipidemia, hypercholesteremia and hypertension were prevalent among 15 (44.12%), 5 (14.17%) and 11 (32.35%) patients; respectively. Nephropathy presented in 12 (35.29%) patients. There were no underweight patients, 4 (2.23%) normal, 19 (55.88%) obese and 11 (32.35%) overweight. We conducted multivariate analysis of variance (MANOA) to compare the effect of age, duration of DM, HGA1c%, TRIGLYCERIDE (mg/dl), LDL-Cholesterol (mg/dl), diastolic blood pressure, systolic blood pressure and GFR on the prevalence of DR. Also , A univariate analysis of variances (two-way ANOVA) was also conducted for each dependent variable. Conclusion: Among the participating patients , our study showed a high prevalence of diabetic retinopathy especially with male patints , high (HbA1c) and longer duration of diabetes. We have recommended a national plan for educational programs about diabetic retinopathy and important of Eye examination .Also,our study showed that certain risk factors may enhance the progression of DR. Furthermore, our study highlights the importance of risk based screening for DR.
机译：背景：糖尿病视网膜病变是糖尿病（DM）最常见的微血管并发症和不可逆转视觉损伤的主要领先原因。基于风险的风险筛查DR进展至关重要。材料和方法：通过评估2型糖尿病患者的眼底，在2016年10月至2016年10月至2016年12月之间进行了横截面研究。此外，我们分析了潜在风险因素，包括人口统计，糖尿病持续时间，抗糖尿病药物类型，血脂血症，[BMI]。结果：总共包括213例糖尿病患者，34（16％）具有平均年龄54.14（13.12）和男性的博士，男性为19（55.88％）和雌性15（44.12％）。其持续时间的平均值为4.4（4.5）个月。 DM持续时间的平均值为15.6年，SD是（10.26）。此外，HBA1C平均值（SD）为8.11（1.99）。 HBA1C％平均值（SD）为8.57（1.88）。胰岛素仅在8（23.53％）中的DM管理，而口服降血糖药物仅供参加（17.65％），并且使用两者的使用是19（55.88％）患者。作为血脂血症的系统疾病，高胆固醇血症和高血压普遍存在15（44.12％），5（14.17％）和11名（32.35％）患者中普遍存在;分别。 12名（35.29％）患者中提出的肾病。没有体重患者，4（2.23％）正常，19（55.88％）肥胖，11（32.35％）超重。我们对方差（MANOA）进行了多变量分析，比较年龄，DM，HGA1C％，甘油三酯（MG / DL），LDL-胆固醇（MG / DL），舒张压，收缩压和GFR上的效果博士的患病率。此外，还对每个因变量进行了对差异的单变量分析（双向ANOVA）。结论：参与患者中，我们的研究表明，糖尿病视网膜病变率高，特别是雄性蛋胶，高（HBA1C）和较长的糖尿病持续时间。我们推荐了一个关于糖尿病患者的教育方案计划和眼科检查的重要计划.Also，我们的研究表明，某些风险因素可能会增强博士的进展。此外，我们的研究突出了基于风险的筛查博士的重要性。

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