Prevalence of cataracts in a population-based study of persons with diabetes mellitus.
Prevalence of cataracts in a population-based study of persons with diabetes mellitus.
复制标题
对糖尿病患者进行的一项基于人群的研究中白内障的患病率。
DOI：
10.1016/s0161-6420(85)33877-0
复制
发表时间：
1985
期刊：
影响因子：
13.7
通讯作者：
Moss,SE
中科院分区：
文献类型：
--
作者：
Klein,BE;Klein,R;Moss,SE
与非糖尿病患者相比，糖尿病患者患白内障的风险增加。这份报告描述了研究的特点，这可能与这个问题在人口为基础的样本糖尿病患者。在年轻和老年发病的糖尿病患者中，手术性无晶状体眼和白内障的患病率随着年龄的增加而增加。女性的比例高于男性。在多变量分析中，对于年轻发病者，糖尿病持续时间较长，检查时年龄较大，视网膜病变严重程度增加，利尿剂使用和较高的糖化血红蛋白水平与白内障的患病率显著相关。在老年人中，检查时年龄、视网膜病变严重程度增加、利尿剂使用、低眼压、吸烟和低舒张压与白内障的患病率显著相关。在考虑在这种情况下进行预防性试验的可能性之前，有必要收集关于这些特征与白内障随后发展或进展的关系的纵向数据。
Persons with diabetes mellitus have been found to be at increased risk of developing cataracts when compared with nondiabetic persons. This report describes the study of characteristics which may be related to this problem in a population-based sample of diabetic persons. Prevalence of surgical aphakia and cataract increased with increasing age in both younger and older onset diabetic persons. Females had higher rates than males. In multivariate analyses, for younger onset persons, longer duration of diabetes, older age at examination, increased severity of retinopathy, diuretic usage and higher glycosylated hemoglobin levels were significantly associated with greater prevalence of cataract. In older onset persons, age at examination, increased severity of retinopathy, diuretic usage, lower intraocular pressure, smoking and lower diastolic blood pressure were significantly associated with greater prevalence of cataract. Longitudinal data concerning the relationship of some of these characteristics to subsequent development or progression of cataract are necessary before considering the possibility of preventive trials in this condition.