不同程度糖尿病性视网膜病变患者中央角膜厚度的分析
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Analysis of central corneal thickness in different degrees of diabetic retinopathy
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    摘要:

    目的:研究不同程度糖尿病性视网膜病变(DR)患者中央角膜厚度(CCT)的变化及相关性。

    方法:采用角膜内皮显微镜对 65例130眼不同程度糖尿病性视网膜病变患者(均为2型糖尿病患者)及年龄、性别相匹配的35例70眼正常健康人进行中央角膜厚度检测,并对结果进行统计分析。

    结果:轻度、中度非增生期糖尿病视网膜病变(NPDR)组与对照组比较,中央角膜厚度差异无统计学意义(P>0.05),而重度NPDR组和增生期糖尿病视网膜病变(PDR)组的CCT较对照组增厚,差异有统计学意义(P<0.05); 组间比较中:轻度NPDR组与重度NPDR组和PDR组比较,差异有统计学意义(P<0.05),中度NPDR组与PDR组比较,差异有统计学意义(P<0.05); 且CCT随DR的程度加重而增厚,呈正相关(r=0.173,P<0.05)。

    结论:糖尿病性视网膜病变的中央角膜厚度随着病变加重逐渐增厚。DR患者治疗过程中,尤其是内眼手术时应特别注意保护角膜内皮,减少并发症的发生。

    Abstract:

    AIM: To study central corneal thickness(CCT)and correlation in different degrees of diabetic retinopathy(DR).

    METHODS: A total of 65 cases(130 eyes)with different degrees of DR and 35 normal cases(70 eyes)as the age-and gender-matched control group were examined by corneal endothelial microscope, to measure CCT and statistics

    RESULTS: Compared to control group, there were no significant difference of CCT both mild and medium nonproliferative diabetic retinopathy(NPDR)groups(P>0.05). While the CCT of severe NPDR group and proliferative diabetic retinopathy(PDR)group were thicker than control group, and the differences were statistically significant(P<0.05); Pairwise comparison in different degrees of DR groups: the CCT of severe NPDR and mild NPDR groups were thicker than PDR group, and the differences were statistically significant(P<0.05); compared to medium NPDR, the CCT of PDR was thicker(P<0.05); The thickness of CCT increases with severity of DR, there was positive linear correlation(r=0.173, P<0.05).

    CONCLUSION: The CCT increases with severity of DR. Taking care of protecting corneal endothelium is very important in the time of therapeutic measure, especially intraocular operation, to decrease complication.

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华山,王继亚.不同程度糖尿病性视网膜病变患者中央角膜厚度的分析.国际眼科杂志, 2014,14(6):1061-1063.

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  • 收稿日期:2014-01-25
  • 最后修改日期:2014-05-12
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  • 在线发布日期: 2014-05-22
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