Analysis of characteristics of diagnosis and treatment of type 2 diabetic retinopathy inpatients with Chinese and Western medicine
Objective To explore the characteristics of diagnosis and treatment of inpatients with type 2 diabetic retinopathy(T2DR).Methods The electronic medical record system was used to retrieve the relevant clinical information of T2DR inpatients in the department of endocrinology,Jiangsu Province Hospital of Traditional Chinese Medicine from January 2010 to April 2016.The general demographic data,complications,biochemical indicators,traditional Chinese and Western medicine treatment plans and specialized examinations were statistically analyzed,and characteristics of diagnosis and treatment of T2DR inpatients were analyzed.Results The incidence of diabetic kidney disease(DKD)was the highest in T2DR patients(46.7％),and the incidence of hypertension was the highest in the combined diseases(62.8％).The incidence of DKD,diabetic foot disease,hypertension and hyperlipidemia in patients with proliferative diabetic retinopathy(PDR)combined with T2DR was significantly higher than that in patients with non-proliferative diabetic retinopathy(NPDR)(P＜0.05).The levels of triglyceride(TG),serum uric acid(SUA),urinary total protein and urinary albumin/creatinine in PDR patients were significantly higher than those in NPDR patients(P＜0.001).The use rates of insulin analogues,calcium channel blockers(CCB),angiotensin receptor blockers(ARB)and α receptor blockers in PDR patients were significantly higher than those in NPDR patients(all P＜0.005).The usage rates of statins and aldose reductase inhibitors in PDR patients were significantly higher than those in NPDR patients(all P＜0.003).The usage rate of benefiting qi,eliminating dampness,promoting blood circulation for removing obstruction in collaterals method in PDR patients was higher than that in NPDR patients(P＜0.05),while the usage rates of drugs that nourish yin and clear heat,and nourish yin and promote blood circulation in PDR patients were lower than those in NPDR patients(all P＜0.05).The rates of eye ultrasound examination,and usage rates of panretinal photocoagulation,and vitrectomy in PDR patients were significantly higher than those in NPDR patients(P＜0.001).Conclusion The usage rates of insulin analogues,CCB,ARB,α receptor blockers,statins and aldose reductase inhibitors in PDR patients are significantly higher than those in NPDR patients.The usage rate of benefiting qi,eliminating dampness,promoting blood circulation for removing obstruction in collaterals method in PDR patients is significantly higher than that in NPDR patients.The rate of fundus angiography should be further increased in PDR patients to better evaluate the disease.
type 2 diabetic retinopathycomplicationbiochemical indexbasic treatmentChinese medicine treatmentfundus examination
万方数据
维普
