糖尿病門診病人的臨床觀察

Clinical Survey of a Diabetic Clinic

吳明揚(Ming-Yang Wu) ； 吳愛卿(Ai-Ching Wu)

《中華民國眼科醫學會會刊》 28卷2期 (1989/05) Pp. 689-694

https://doi.org/10.30048/ACTASOS.198905.0127

摘要

以糖尿病門診連續出現的313位30歲以上的病人，經詳細的眼科檢查及相關實驗數據的獲得，進一步分析發現，本研究全體糖尿病綱膜症威行率為72.8%，其中需使用胰島素治療者則69.4%呈現網膜症變化。至於罹患糖尿病在5年以下者有34.5具網膜病變，且其中8%是增殖性網膜症，在5至14年組則分別為81.5%及42.2%，15年以上組為96.7%和69.2%；由此表示罹病久暫對網膜病變的程度是一明顯的影響因素。蛋白尿隨著網膜病變的進行有較明顯的跡象，反觀高血壓患者似乎出現網膜病變的比例較高，但不具統計學的意義。在糖尿病併發症以外伴隨發生的眼部疾病以原發性青光眼為多數。

並列摘要

A medical diabetic clinic at Mackay Memorial Hospital was examined for evidence of eye disease. Three hundreds and thirteen patients older than 30 years in age was invited for ocular examination. The prevalence of DR is 78% in our study, otherwise, 86.9% for IDDM and 69.4% for NIDDM respectively. As to the relationship between duration of DM and diabetic retinopathy: (1) 34.5% DR and 8% PDR in less than 5 years. (2) 8 1.5% DR and 42.2% PDR in 5 to 14 years. (3) 96.7% DR and 69.2% PDE in more than 15 years. It reveals that the duration of diabetes is the predominant factor determining the prevalence of both total and proliferative retinopathy. Proteinuria was present more frequent in severe DR than mild DR. Presence of hypertension or not, has no statistical significance in the progression of DR. Primary glaucoma is the most part of concomitant ocular disease in our series.

並列關鍵字

diabetic retinopathy ； proliferative retinopathy ； concomitant ocular disease