馬祖地區糖尿病視網膜病變社區性研究

Population-Based Study of Diabetic Retinopathy among Self Reported Diabetics in Matsu

莊宗憲(Tsung-Hsien Chuang) ； 翁林仲(Lin-Chung Woung) ； 陳秀熙(Tony Hsiu-Hsi Chen) ； 陳立昇(Li-Sheng Chen) ； 董道興(Tao-Hsin Tung) ； 劉增應(Cheng-Ying Liu) ； 周碧瑟(Pesus Chou) ； 蔡景耀(Ching-Yao Tsai)

《中華民國眼科醫學會雜誌》 44卷2期 (2005/06) Pp. 89-95

https://doi.org/10.30048/ACTASOS.200506.0006

摘要

目的：調查馬祖地區糖尿病視網膜病變之盛行率及相關危險因子。
方法：本次研究自2003年7月28日起至8月7日止為期二週，針對馬祖地區30歲以上民眾作糖尿病視網膜病變之橫斷性篩檢。由眼科專科醫師負責對所有民眾進行間接式眼底鏡檢查及數位式眼底照相。
結果：共計有1,496位（774位女性，722位男性）民眾接受本次篩檢，平約年齡為50.8歲。140位民眾(9.4%)自訴患有糖尿病，而其中39位民眾(27.9%)被檢出為非增殖性糖尿病視網膜病變，28位民眾(20.0%)為增殖性糖尿病視網膜病變。在危險因子之分析上，我們發現糖尿病患病期及偏遠居住地（東引及莒光）和糖尿病視網膜病變之盛行率有明顯的相關性。
結論：在本調查研究進行之前，馬祖地區並無任何常駐之眼科專科醫師。醫療資源不足所造成疾病盛行率的提高，為日後視力障礙防治上的一個重要課題。

並列摘要

Purpose: To investigate the prevalence and associated risk factors of diabetic retinopathy among self reported diabetics in Matsu area
Methods: A community-based eye survey for the residents aged 30 or older was performed during July 28 to August 7, 2003. Diabetic retinopathy was assessed by a panel of study ophthalmologists using both indirect ophthalmoscopy and digital fundus retinal photographs.
Results: Among 1,496 eligible participants (774 females and 722 males, mean age 50.8 years), 140 subjects (9.4%) were with self reported history of diabetes. Among those diabetics, 39 cases (27.9%) were non-proliferative diabetic retinopathy and 28 (20.0%) were proliferative diabetic retinopathy. We found self reported diabetic duration over 10 years or unknown (OR 47.1, 95%CI: 13.4-165.8) and rural residents in Chukuang/Tungyin (OR 3.93, 95%CI: 1.41-10.87) were independent risk factors for diabetic retinopathy in the multivariate analysis.
Conclusions: There were no ophthalmologist in Matsu before our study, and it revealed the prevalence of diabetic retinopathy was relatively high among self reported diabetics. Diabetics with long-term duration or self ignorance of unknown duration and those in more rural islets, Chukuang/Tungyin, were in risk of vision-threatening diabetic retinopathy. It remains an important issue of blindness prevention.

並列關鍵字

type 2 diabetes ； prevalence ； diabetic retinopathy ； community-based study