·糖尿病视网膜病变·

　　王慧卿 王桂英 蒋绿芝

　　作者单位：037004山西，大同市第五人民医院内分泌科

　　【摘要】目的探讨T2DM并发白内障的危险因素。方法采用病例对照研究，将170例患者分为T2DM并发白内障组和单纯T2DM租，进行性别、年龄、BMI等多指标的比较。结果T2DM并发白内障组的年龄、病程、BMI、FPG、HbA1c与单纯T2DM组比较，差异有统计学意义(P<0.05)。为排除各因素的相互作用，以白内障发病与否为应变量，其他因素为自变量，行Logistic回归分析，结果表明年龄、病程、BMI、HbA1c差异有统计学意义。结论年龄、病程、BMI、HbA1c是T2DM并发白内障的危险因素。

　　【关键词】糖尿病，2型;白内障

　　doi:10.3969/j.issn.1006-6187.2012.03.006

　　The clinical analysis of cataracts in patients with type 2 diabetes mellitusWANG Hui-qing，WANG Gui-ying，JANG Lv-zhi.Department of Endocrinology，the Fifth People’s Hospital, Da Tong, Shan Xi 037004, China

　　【Abstract】ObjectiveThe purpose of this study was to assess risk factors of T2DM with cataract.MethodsIn the case control study 80 T2DM patients with cataracts were selected as T2DM+cataracts group，and 70 T2DM patients without cataracts were selected as T2DM group.Sex，age，BMI，et al.were measured in all patients.ResultsT-test showed that age，duration of diabetes，BMI，FPG and HbA1c in T2DM + cataracts group were increased compared to T2DM group(P<0.05).In order to eliminate the interaction among the factors，using cataracts as dependent variable and other factors as covariates，multiple logistic regression analysis suggested the age，duration of diabetes，BMI and HbA1c were significantly associated with cataracts.ConclusionThe age， duration of diabetes，BMI and HbA1c were strong risk factors of cataracts in T2DM patients.

　　【Key words】Diabetes mellitus，type 2; Cataract