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糖尿病患者干眼症发病因素分析
http://www.100md.com 《新疆医科大学学报》 2005年第8期
糖尿病,,2型糖尿病;干眼症;发病因素;非条件Logistic回归分析,1资料与方法,2结果,3讨论,参考文献:
     摘要: 目的: 探讨多种眼表因素异常在糖尿病干眼症发病中的作用。方法: 对107例汉族(乌鲁木齐市)2型糖尿病患者存在的干眼症状及有关的眼表因素(泪液基础分泌、泪膜稳定性、泪液性状、角膜上皮完整性)检查结果量化后进行单因素及多因素的非条件Logistic回归分析。结果: 泪膜稳定性下降(P=0.020, OR=12.268),泪液基础分泌量减少(P=0.007, OR=5.398),与糖尿病人干眼症发生呈显著正相关,差异有统计学意义。结论: 泪膜稳定性下降、泪液基础分泌量减少在汉族2型糖尿病患者干眼症的发病中起一定作用。

    关键词: 2型糖尿病;干眼症;发病因素;非条件Logistic回归分析

    The analysis of the pathogeny of dryeye in type 2 diabetic patients

    LI Peng, AN Xiao, CHEN Xueyi, et al

    (Department of Ophthalmology, Frist Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China)

    Abstract: Objective: To explore the relationship between multivariate ocular factors and the development of dry eye in type 2 diabetes mellitus. Methods: One hundred and six cases with type 2 diabetes mellitus were selected and evaluated with a series of ocular testing of the Schirmer I, the tears film stability, the staining with fluorescein sodium on cornea and the tears ferning. A questionnaire about dry eye was surveyed. Oneway and multivariate nonconditional logistic regression analysis were used to analyze the relation between multivariate ocular factors and the development of dry eye in type 2 diabetes mellitus. Results: The unstable tears flilm (P=0.020, OR=12.268) and the decrease of basal tears secretion (P=0.007, OR=5.398)had positive relationship with the development of dry eye in type 2 diabetes mellitus. Conclusion: Our date showed that the unstable tear flilm and the decrease of basal tears secretion might play a role in the development of dry eye in type 2 diabetes mellitus. ......

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