基于区域卫生信息平台的糖尿病伴发眼病流行病学分析
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摘要
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 epidemiological characteristics of the diabetes mellitus(DM) with oculopathy based on the regional health information platform, and to provide the evidences for the diabetes mellitus control. Methods In August 2016, the data of newly diagnosed diabetes mellitus cases who were registered as permanent residences in Jiangdong district from Ningbo municipal chronic non-communicable disease collaborative management system and the data of diagnosed oculopathy cases in all the hospitals in 2015 from Ningbo municipal health information resource center were used to match and analyze. The Kruskal-Wallis test and χ~2test were used to analyze data with PASW Statistics 18.0 and Excel 2003 software. Results In 2015, patients of DM with oculopathy were 1 819 cases, the morbidities in DM patients and new diagnosed DM patients were 12.78% and 19.25%,male and female patients of DM with oculopathy were 827 cases(45.46%) and 992 cases(54.54%), age was 16-95 years old(mean:64.6±12.8 years old). The major type of DM cases with oculopathy was type 2 diabetes mellitus(T2DM, 1 734 cases, 95.33%),The T2DM cases were diagnosed at the age of(59.9±11.5 years old), the mean age of new diagnosed T2DM cases was(64.7±12.2)years old; as the mean age(59.3±11.3 years old) of diagnosed patients, the mean age of new diagnosed T2DM cases significantly increased(P<0.01). The main types of oculopathy were cataract, defective vision, refraction change and retinopathy. Conclusion It is essential to emphasize the health education of DM with oculopathy, and to carry out the community screening in order to control the diabetes mellitus with oculopathy.
Objective To analyze the epidemiological characteristics of the diabetes mellitus(DM) with oculopathy based on the regional health information platform, and to provide the evidences for the diabetes mellitus control. Methods In August 2016, the data of newly diagnosed diabetes mellitus cases who were registered as permanent residences in Jiangdong district from Ningbo municipal chronic non-communicable disease collaborative management system and the data of diagnosed oculopathy cases in all the hospitals in 2015 from Ningbo municipal health information resource center were used to match and analyze. The Kruskal-Wallis test and χ~2test were used to analyze data with PASW Statistics 18.0 and Excel 2003 software. Results In 2015, patients of DM with oculopathy were 1 819 cases, the morbidities in DM patients and new diagnosed DM patients were 12.78% and 19.25%,male and female patients of DM with oculopathy were 827 cases(45.46%) and 992 cases(54.54%), age was 16-95 years old(mean:64.6±12.8 years old). The major type of DM cases with oculopathy was type 2 diabetes mellitus(T2DM, 1 734 cases, 95.33%),The T2DM cases were diagnosed at the age of(59.9±11.5 years old), the mean age of new diagnosed T2DM cases was(64.7±12.2)years old; as the mean age(59.3±11.3 years old) of diagnosed patients, the mean age of new diagnosed T2DM cases significantly increased(P<0.01). The main types of oculopathy were cataract, defective vision, refraction change and retinopathy. Conclusion It is essential to emphasize the health education of DM with oculopathy, and to carry out the community screening in order to control the diabetes mellitus with oculopathy.
引文
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[3]袁明霞,信中,冯建萍,等.北京市昌平区自然人群糖尿病视网膜病变患病率调查及危险因素分析[J].首都医科大学学报,2012,33(5):669-675.
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[5]Wong TY,Klein R,Islam FM,et al.Diabetic retinopathy in a multiethnic cohort in the United States[J].Am J Ophthalmol,2006,141(3):446-455.
[6]梁辰,施榕,朱静芬,等.上海市浦东新区社区2型糖尿病患者糖尿病性视网膜病变的患病情况及影响因素调查[J].中国全科医学,2016,19(4):474-478.
[7]张敏,崔颖,孟倩丽,等.广东省东莞市糖尿病视网膜病变流行病学调查[J].眼科新进展,2014,34(3):260-263.
[8]杜军辉,李蓉,张中,等.住院糖尿病患者糖尿病视网膜病变患病率及知晓率调查分析[J].临床眼科杂志,2014,22(3):256-258.
[9]黄黎黎,宋愈,喻建锋,等.南通市区患者初诊糖尿病视网膜病变严重程度的相关因素分析[J].临床眼科杂志,2016,24(1):21-23.
[10]Goh PP,Omar MA,Yusoff AF.Diabetic eye screening in Malaysia:findings from the National Health and Morbidity Survey[J].Singapore Med J,2010,51(8):631-634.
[2]向红丁.住院病例高血压与糖尿病慢性并发症患病率的研究[J].中华流行病学杂志,2003,24(9):819-821.
[3]袁明霞,信中,冯建萍,等.北京市昌平区自然人群糖尿病视网膜病变患病率调查及危险因素分析[J].首都医科大学学报,2012,33(5):669-675.
[4]Lee KM,Sum WM.Prevalence of diabetic retinopathy in patients with recently diagnosed diabetes mellitus[J].Clin Exp Optom,2011,94(4):371-375.
[5]Wong TY,Klein R,Islam FM,et al.Diabetic retinopathy in a multiethnic cohort in the United States[J].Am J Ophthalmol,2006,141(3):446-455.
[6]梁辰,施榕,朱静芬,等.上海市浦东新区社区2型糖尿病患者糖尿病性视网膜病变的患病情况及影响因素调查[J].中国全科医学,2016,19(4):474-478.
[7]张敏,崔颖,孟倩丽,等.广东省东莞市糖尿病视网膜病变流行病学调查[J].眼科新进展,2014,34(3):260-263.
[8]杜军辉,李蓉,张中,等.住院糖尿病患者糖尿病视网膜病变患病率及知晓率调查分析[J].临床眼科杂志,2014,22(3):256-258.
[9]黄黎黎,宋愈,喻建锋,等.南通市区患者初诊糖尿病视网膜病变严重程度的相关因素分析[J].临床眼科杂志,2016,24(1):21-23.
[10]Goh PP,Omar MA,Yusoff AF.Diabetic eye screening in Malaysia:findings from the National Health and Morbidity Survey[J].Singapore Med J,2010,51(8):631-634.