Diabetologia:视网膜血管几何学和糖尿病视网膜病变6年发病率及其进展

2017-09-30 MedSci MedSci原创

近日,国际杂志 《Diabetologia》上在线发表一项关于视网膜血管几何学和糖尿病视网膜病变6年发病率和进展的研究。研究人员旨在前瞻性地检查从视网膜照片测量的一系列视网膜血管几何变量与糖尿病性视网膜病变6年发病率和进展之间的关联。

近日,国际杂志 《Diabetologia》上在线发表一项关于视网膜血管几何学和糖尿病视网膜病变6年发病率和进展的研究。研究人员旨在前瞻性地检查从视网膜照片测量的一系列视网膜血管几何变量与糖尿病性视网膜病变6年发病率和进展之间的关联。 研究人员对基线时间为40-80岁的亚洲马来人进行了6年的前瞻性的基于人群的队列研究(n=3280)。使用计算机辅助计划(新加坡I血管评估)从基线视网膜照片测量视网膜血管几何变量(曲折度,分支,分形维数,口径)。糖尿病性视网膜病变使用改良的Airlie House分类系统从基线和随访照片分级。糖尿病视网膜病变发生率定义为在基线时没有糖尿病视网膜病变的患者随访时严重程度≥15。可参考性糖尿病视网膜病变的发生率定义为中度或重度非增殖性糖尿病视网膜病变,增生性糖尿病性视网膜病变或糖尿病性黄斑水肿,其参与者在基线时没有或轻度非增殖性糖尿病性视网膜病变。糖尿病性视网膜病变的进展定义为随访时增加严重程度≥2个级。使用具有期望最大化算法的对数二项模型来估计年龄,性别,糖尿病持续时间,HbA1c水平,BP,BMI,基线估计GFR和总胆固醇和HDL-胆固醇校正后的RR值。

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