采用国际新分类法调查糖尿病视网膜病变  

Epidemiologic study of diabetic retinopathy in Huizhou city using international classification

作　　者：王丁丁[1] 林职霞[1] 陈子林[1] 王小艺[1] 

机构地区：[1]广东省惠州市中心人民医院眼科,516001

出　　处：《临床眼科杂志》2012年第5期430-432,共3页Journal of Clinical Ophthalmology

基　　金：广东省惠州市科技计划项目(2010Y030)

摘　　要：目的采用2002年国际新分类法调查惠州市患有糖尿病居民中糖尿病视网膜病变(DR)患病情况。方法以自然人群为基础,对惠州市随机抽样进行糖尿病筛查,确诊者进一步进行DR的检查:散瞳后裂隙灯显微镜下VOLK前置镜检查眼底,对结果进行登记分级。结果糖尿病患者1921例中患有DR 487例,轻度非增生性糖尿病视网膜病变(NRDR)228例,在DR患者患病率46.82%;中度NPDR 158例,在DR患者患病率32.44%;重度NPDR 61例,在DR患者患病率12.53%;增生糖尿病视网膜病变(PDR)40例,在DR患者患病率8.21%。糖尿病黄斑水肿(DME)患者171例,在DR患者中患病率35.11%,轻度DME 79例,占46.20%;中度DME54例,占31.46%;重度DME 38例,占22.34%。结论采用2002年国际新分类法筛查DR简便易行,有利于DR的早期筛查和国际推广,有助于科学的评估DR进展,选择合理的治疗方法,有效地降低DR患者的致盲率。Objective To investigate the prevalence of diabetic retinopathy（ DR ） by using the intemafienal classificatien for the severity degrees of DR in Huizhou city. Methods Diabetes mellitus （ DM ） was diagnosed in Huizbeu city, then DR patients＇fundus were screened by VOLK present lens examination under slit-lamp microscope. Results Among 1921 DM eases, 487 subjects were confirmed to be DR. In Hulzhou DR cases, The incidence of mild NPDR was 46.82%, moderate NPDR was 32.44%, severe NPDR was 12.53% ,PDR was 8.21%. There were 171 diabetic maenlar edema （DME） patients, the incidence of mild DME was 46.20%, moderate DME was 31.46% s and severe DME was 22.34%. Conclusion It is simple and feasible to screen DR using the 2002 international classifieatien. The classification can early diagnose DR. It is advantageous to communiacate internation-ally , scientifically evalue DR severity, select suitable treatment, decrease DR blindness.

关 键 词：国际新分类法 糖尿病视网膜病变 患病率 

分 类 号：R774.1[医药卫生—眼科] R587.1[医药卫生—临床医学]