基于移动互联网眼底成像的糖尿病眼底病变防控模式与实践研究  

Prevention and Control Mode and Practice of Diabetic Fundus Lesions Based on the Mobile Internet Fundus Imaging

作　　者：梁志伟[1,2] 周丽文[3] 张晓阳 徐宁[5] 梁倩蓉[2] 赖小平[6] 袁野 周毅[8] LIANG Zhiwei;ZHOU Li-wen;ZHANG Xiao-yang;XU Ning;LIANG Qian ru;LAI Xiao ping;YUAN Ye;ZHOU Yi

机构地区：[1]东莞广州中医药大学中医药数理工程研究院 [2]广州中医药大学 [3]东莞麻涌镇社区卫生服务中心 [4]东莞市卫生信息统计中心 [5]广州市第八人民医院 [6]广州中医药大学中医药数理工程研究院 [7]炎黄东方(北京)健康科技有限公司 [8]中山大学中山医学院

出　　处：《中国数字医学》2016年第11期2-5,14,共5页China Digital Medicine

基　　金：国家863计划课题(编号:2013AA020418);"十二五"国家科技支撑计划课题(编号:2012BAI41B02);广东省科技计划项目(编号:2012A080205001);广东省前沿与关键技术创新专项(编号:2014B010118003;2015B010106008)~~

摘　　要：目的:为基层社区、远程专科机构和团队共同对辖区糖尿病患者眼底病变开展筛查提供技术支持,提升重大慢性非传染性疾病防控能力。方法:设计一个可用于防控某单种重大慢性非传染性疾病、具有业务-信息-金融互流,以及价值共赢的流程图;选出20名拟预试对象,采用手持眼底镜对其眼底部进行拍照,再通过协同服务平台将所采集图片远程传送到异地的专科机构和团队进行研读;对居民现场询问或活动结束一周随访,进一步筛查分析。结果:入选的20名拟预试对象中,17名接受并参与了预试,其中8名发现有眼底病变,且当中1名伴有疑似眼底渗血征。结论:通过手持眼底镜和互联移动操作平台卫生医疗协同服务,开展区域防控居民糖尿病眼底病变筛查结合健康教育,可构建区域卫生医疗协同共赢服务模式,有助于提升重大慢性非传染性疾病防控能力。Objective: To provide technical support to the screening of fundus lesions of diabetics in the jurisdiction carried out bygrassroots communities, remote specialized agencies and teams, and improve the prevention and control capacity of major chronicnon-communicable diseases. Methods: A flow chart which can be used in the prevention and control of a single major chronic noncommunicabledisease and has business-information-financial flow and value co-win; 20 test objects are selected, the ophthalmoscopeis carried a hand to take photos for their fundus, and then through the collaborative service platform images collected are delivered to aspecialized agency and a team in a another place for study; residents are asked on site, or the follow-up is completed one week after theactivity for further screening and analysis. Results: Among 20 test objects selected, 17 people accept and participate in the trial test, ofwhich fundus lesions are found in 8 people. One has fundus bleeding with high blindness risk characterization. Conclusion: Through thecollaborative healthcare service of the hand-held ophthalmoscope and the interconnected and mobile operating platform, the screening ofdiabetic fundus lesions of residents is carried out for the regional prevention and control. The regional healthcare collaborative win-winservice mode can be build, so as to help to improve the prevention and control capacity of major chronic non-communicable diseases.

关 键 词：数字化区域卫生医疗 协同服务模型 移动互联手持眼底镜 糖尿病眼底病变筛查 慢性非传染性疾病防控 

分 类 号：TP393[自动化与计算机技术—计算机应用技术] R587.1[自动化与计算机技术—计算机科学与技术]