| Purpose:With the rapid development of social economy, people,s livingstandards have improved.But the healthy diet and concept of law was nottaken seriously, and this has caused in today,s society, the incidence ofdiabetes is higher and higher, diabetes has become a major issue forhealth harm. With the passage of time will be a variety of diabetescomplications, diabetes retinopathy is one of the most commonmicrovascular complications of diabetes. The incidence of diabetesretinopathy is not only related to the disorder of glucose metabolism,hypertension, hyperlipidemia and other chronic metabolic disease, recentstudies also found that the occurrence and development of diabetesretinopathy is correlated with many factors and the clinical treatment oflife of the patients with relativity.Through the research of type2diabetic patients between with andwithout concurrent diabetes retinopathy,s gender, age, course of disease,family history, living habits(smoking, drinking),treatment(drug law, thelaw of life habit, monitoring of blood glucose) and patients withcomplications(hypertension, high blood fat), glycosylated hemoglobin,urinary albumin, blood ion(Na, K, Cl, Ca, P, Mg, Fe, Zn), find the factors influencing the occurrence of diabetes retinopathy,provide the basis forclinical nursing care, and to develop the corresponding nursingcountermeasures.Method:1. The clinical data of158cases collected from March2012to April2012at China-Japan Union Hospital, Department of Endocrinology, atthe age of18~82,92cases of male patients,66female patients，in80patients with DR,78case of NDR patients.2. All patients met the diagnostic criteria for diabetes in1999ADAreleased, according to the new international division of DR in the2002Sydney international ophthalmology made at the meeting.3. Put the type2diabetes patients with and without concurrentretinopathy were divided into DR group(n=80) and non DR(n=78). Allof the subjects were inspected by TRC-NW300non-mydriatic funduscamera in China-Japan Union Hospital Department of Endocrinology.4. All the results by statistical processing,application SPSS19.0statistical software processing.The application of count data X2text,P<0.05has significant different, has statistical significance.Measurement data with normal distribution with mean±standarddeviation. Between the two groups were compared using two x2or ttest, single factor analysis and correlation analysis, multiple factorswere analyzed by multiple regression analysis. Result:1. All the survey data, Age, course of disease, blood glucose, glycosylatedhemoglobin,24hours urinary albumin of patients in group DR werehigher than those of measurement data of patients without DR, andP<0.05. And magnesium, phosphorus ions in a value lower than inpatients without DR, P<0.05also has statistical significance. In countdata, family history of hypertension, high blood lipid complications,P<0.05,with DR correlation between occurrence.2. Multivariate analysis was performed on two data sets: The data ofLogistic regression analysis showed, independent factors associatedwith diabetic retinopathy in type2diabetes patients with diabetesduration(P=0.01), blood pressure(P=0.028), phosphorus(P=0.04),magnesium(P=0.008), and the occurrence of magnesium andphosphorus and type2diabetic retinopathy is negatively related to.Conclusion:1. With the increase of age, course of disease in patients with type2diabetes, risk of DR also increases. And the disorder of glucosemetabolism, family history, glycosylated hemoglobin,24hours urineprotein, hypertension, hyperlipidemia are risk factors of DR.2. Course of disease, hypertension, serum phosphorus, serum magnesiumare independent predictors of DR in patients with type2diabetes, and the occurrence of blood magnesium, phosphorus negatively correlatedwith DR. |
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