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目的基于区域卫生信息平台,分析糖尿病伴发眼病流行情况,为糖尿病防治提供依据。方法于2016年8月调取和匹配宁波市慢性病协同管理系统中江东区户籍的糖尿病发病个案数据库和宁波市卫生信息资源中心各级医疗机构2015年诊断为眼病的个案数据库,获取糖尿病患者的眼病就诊数据,用PASW Statistics 18.0和Excel 2003进行KruskalWallis H检验和χ~2检验。结果 2015年江东区户籍糖尿病患者的眼病就诊数为1 819例,糖尿病患者中伴发眼病的患病率为12.78%,新诊断糖尿病患者同一年伴发眼病的患病率为19.25%。1 819例糖尿病伴发眼病者中男性827例(45.46%),女性992例(54.54%)。患者年龄16~96岁,平均(64.6±12.8)岁。糖尿病患者中以2型糖尿病为主(1 734例,95.33%)。2型糖尿病患者平均首诊年龄为(59.9±11.5)岁,新诊断者的平均首诊年龄为(64.7±12.2岁),高于已诊断者[(59.3±11.3)岁],差异有统计学意义(H=34.94,P<0.01)。伴发眼病类型以白内障为最多,其次为视觉障碍、屈光改变和视网膜病变。结论进行糖尿病眼病健康教育,以及实施社区眼病筛查,将有利于遏制糖尿病眼病并发症的发生、发展。
Objective To analyze the prevalence of diabetic eye disease based on regional health information platform to provide evidence for the prevention and treatment of diabetes. Methods In August 2016, the database of diabetes cases registered in Jiangdong district of Ningbo chronic disease collaborative management system and the case database of eye diseases diagnosed by various medical institutions of Ningbo Health Information Resource Center in 2015 were collected and matched to obtain the eye diseases of diabetic patients Visit data were analyzed using Kruskal Wallis H test and Chi-2 test with PASW Statistics 18.0 and Excel 2003. Results In 2015, 1819 cases of diabetic eye disease were registered in Jiangdong District. The prevalence of eye disease in diabetic patients was 12.78%. The prevalence of concurrent eye diseases in the newly diagnosed diabetic patients was 19.25% in 2015. There were 827 male patients (45.46%) and 992 female patients (54.54%) in 1 819 diabetic patients. Patients aged 16 to 96 years, with an average (64.6 ± 12.8) years. Diabetes mellitus is predominant in type 2 diabetes (1 734 cases, 95.33%). The average first diagnosis of type 2 diabetes mellitus was (59.9 ± 11.5) years old, and the average first diagnosis was 64.7 ± 12.2 years old (59.3 ± 11.3 years). The difference was statistically significant Significance (H = 34.94, P <0.01). Cataracts were the most common type of eye disease, followed by visual impairment, refractive change and retinopathy. Conclusion The health education of diabetic eye disease, and the implementation of community eye screening, will help curb the occurrence and development of complications of diabetic eye disease.