糖尿病患者眼底检查相关因素分析

Joo-Hyuck Choi, B. Na, Sung-A Chun
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引用次数: 5

摘要

目的:分析糖尿病患者进行眼底检查预防微血管并发症的比例,探讨糖尿病患者进行眼底检查的相关因素。方法:本研究采用2005年韩国国民健康与营养调查数据。我们从数据中选择了所有1129例糖尿病患者。选择与糖尿病患者相关的8个因素。这些因素包括性别、年龄组、居住区域类型(农村或城市)、教育水平、收入水平、高血压合并症、当前胰岛素使用情况和糖尿病持续时间。我们通过卡方和logistic回归分析分析了这些因素,包括患者是否接受过眼底检查。结果:女性糖尿病患者比男性糖尿病患者接受更多的眼底检查。年轻患者、居住在城市地区的患者、文化程度高的患者、高收入患者、合并高血压患者、注射过胰岛素的患者、长期患糖尿病的患者应接受更多的眼底检查。多因素logistic回归分析显示,性别、文化程度、收入水平、糖尿病病程、是否合并高血压、是否注射胰岛素是进行眼底检查预防微血管糖尿病并发症的重要因素。结论和讨论:我们认为医生和决策者应考虑对男性和糖尿病患者进行眼底检查,特别是病程较短的男性和糖尿病患者、低文化程度的患者、低收入患者和接受胰岛素治疗的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Related to Fundus Examination in Diabetes Mellitus Patients
Objectives: The purpose of this study is to analyze the proportion of fundus examination of DM patients for preventing microvascular complication and to examine the factors related to fundus examination in DM patients. Methods: This study used 2005 Korean national health and nutrition survey data. We selected all 1,129 diabetes mellitus patients from the data. And we choose 8 factors related to diabetes mellitus patients. These are sex, age group, type of residential area(rural or urban), education level, income level, comorbidity with hypertension, current insulin use, and duration of suffering from DM. We have analysed these factors by whether he had been examined fundus or no through Chi-square and logistic regression analysis. Results: Female DM patients have tendency to get more fundus examination than Male DM patients. And Young patients, patients who live in urban area, well educated patients, high income patients, comorbidity with hypertension, patients have got the insulin injection, patients have long duration of suffering from DM are to get more fundus examination. According to multivariate logistic regression analysis, sex and education level, income level, and duration of suffering from DM, comorbidity with hypertension, patients have got the insulin injection are significant factors on fundus examination for prevent microvascular diabetes mellitus complications. Conclusions and Discussion: We have concluded that physicians and policy makers should consider to fundus examination especially of man and DM patients who have more shorter disease period and low educated patients and low incomed patients and patients who have taken insulin therapy.
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