Nghiên cứu mối liên quan giữa đặc điểm lâm sàng, glucose, HbA1c với bệnh lý võng mạc mắt ở bệnh nhân đái tháo đường tuýp 2

With the goal of clarifying the relationship between Blood pressure, blood lipids, glucose and HbA1c management with Diabetic Retinopathy (DR) to serve as a basis for the screening and prevention of diabetic retinopathy, we carried out this study. Conducting examination of 145 diabetic patients, average age 60.88 ± 8.11 showed that: The rate of retinopathy in the group with a history of hypertension (58.3%) was higher than the group without a history of hypertension (28.4%), p < 0.05, OR = 3.01. BMI had a statistically significant relationship with the risk of DR, the overweight and obese group had a higher rate of DR (70.8%) than the other group (37.2%) with OR = 4.1. An association between dyslipidemia and the risk of DR had not been found. The group with blood glucose > 7mmol/l had a higher risk of DR (OR = 2.2), the difference was not statistically significant. The poor HbA1c control group (>7.5%), had a higher DR rate than the moderate or good HbA1c control group (4.4-7.5%), respectively (54.1%, 28.6%), p < 0.05, OR = 2.80. Conclusion: Patients with obesity, hypertension and poor glycemic control had a high risk of DR with a OR index of 4.2; 3.01 and 2.2, p < 0.005.