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首页> 外文期刊>Annals of medicine >The performance of a diabetic retinopathy risk score for screening for diabetic retinopathy in Chinese overweight/obese patients with type 2 diabetes mellitus
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The performance of a diabetic retinopathy risk score for screening for diabetic retinopathy in Chinese overweight/obese patients with type 2 diabetes mellitus

机译:糖尿病视网膜病变风险评分在中国超重/肥胖2型糖尿病患者中筛查糖尿病视网膜病变的表现

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Introduction. Diabetic retinopathy (DR) is a common chronic microvascular diabetic complication. The presence of DR may indicate microcirculatory dysfunction in other organ systems besides visual morbidity. The objective of this study was to develop a simple diabetic retinopathy risk score to identify DR in Chinese overweight/obese patients with type 2 diabetes mellitus (T2DM). Patients and methods. A multicentre hospital-based cross-sectional study was carried out in Guangdong Province between August 2011 and March 2012. The evaluated 2699 patients included 1263 males and 1436 females, with an average age of 59.4 ± 13.0 years. Results. The diabetic retinopathy risk score was conducted by age, duration of DM, history of antihypertensive drug treatment, and waist circumference. The area under the receiver operating characteristics curve for DR was 0.700 (95% CI 0.671-0.729). Comparing Youden's index of different values, the optimal cut-off point was 20 to predict DR. The odds ratio for one unit increase in the diabetic retinopathy risk score associated with the risk of DR was 1.104 (95% CI 1.089-1.120). Conclusions. Our data suggest that the diabetic retinopathy risk score could be a reliable primary screening tool for the presence of DR in Chinese overweight/obese patients with T2DM.
机译:介绍。糖尿病性视网膜病(DR)是一种常见的慢性微血管糖尿病并发症。 DR的存在可能表明除了视觉发病以外,其他器官系统也存在微循环功能障碍。这项研究的目的是建立一个简单的糖尿病视网膜病变风险评分,以鉴定中国超重/肥胖的2型糖尿病(T2DM)患者的DR。患者和方法。 2011年8月至2012年3月,在广东省进行了一项基于多中心医院的横断面研究。评估的2699例患者包括1263例男性和1436例女性,平均年龄为59.4±13.0岁。结果。糖尿病视网膜病变风险评分是根据年龄,DM持续时间,降压药物治疗史和腰围进行的。 DR的接收器工作特性曲线下的面积为0.700(95%CI 0.671-0.729)。比较不同值的尤登指数,预测DR的最佳临界点为20。与DR风险相关的糖尿病性视网膜病变风险评分每增加1个单位的优势比为1.104(95%CI 1.089-1.120)。结论我们的数据表明,糖尿病性视网膜病变风险评分可能是中国超重/肥胖T2DM患者中是否存在DR的可靠的主要筛查工具。

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