糖尿病视网膜病变的临床防治措施探讨  

Discussion on the clinical control measures of diabetic retinopathy

作　　者：张宇昕[1] 张福燕[2] 李建阳[2] 张巧[2] 李青[2] Zhang Yuxin;Zhang Fuyan;Li Jianyang;Zhang Qiao;Li Qing(Guizhou Medical University 550004;Affiliated Hospital of Guizhou Medical University550004)

机构地区：[1]贵州医科大学,550004 [2]贵州医科大学附属医院,550004

出　　处：《中国社区医师》2017年第2期90-91,共2页Chinese Community Doctors

基　　金：贵州省科技攻关项目;基金编号:黔科合S字[2011](3109);基金题目:双氯氛酸钠眼药水促进糖尿病视网膜病变瞳孔散大和抑制其激光治疗中瞳孔缩小的临床研究;贵州省科技攻关项目;基金编号:黔科合S字[2007](1050);基金题目:糖尿病视网膜病变的综合防治;贵州省科学技术基金;基金编号:黔科合J字[2008](2160);基金题目:光学相干断层扫描技术在贵州省糖尿病黄斑水肿患者中的应用~~

摘　　要：目的:探讨适合地区情况的糖尿病视网膜病变(DR)临床防治措施。方法:收治以视力下降为主诉就诊于眼科的2型糖尿病患者349例(698眼),给予DR临床防治措施,包括加强DR知识宣传,规范眼科、内分泌科诊治方法,建立眼科、内科医生及患者联系手册等。结果:采用该措施共完成349例(698眼)的DR宣传、联系手册建立及糖尿病和其他并发症治疗。患者系统指标均达均到2009年-2012年中国2型糖尿病防治指南的控制目标,为249例(409眼)施行了眼底激光治疗,88例(89眼)施行了玻璃体切割手术,其中33.21%的患眼治疗后视力提高,55.36%的患眼治疗后视力保持不再恶化,随访期间,无一例发生眼球摘除。结论:该DR临床防治措施可以减少DR漏诊、误诊及漏治率,为该地区DR防治工作提供了经验。Objective:To explore the clinical prevention and treatment measures that suitable for regional conditions for diabetic retinopathy(DR).Methods:349 cases(698 eyes) with decreased vision for complained of ophthalmology in our hospital in patients with type 2 diabetes were selected.They were given DR clinical prevention measures,including strengthening the DR knowledge propaganda,standardized Ophthalmology,department of endocrinology diagnosis and treatment methods,establish ophthalmology,physician and patient contact manual.Results:The measures were used to complete DR publicity,linkage manual establishment and diabetes and other complications in 349 patients with 698 eyes.Patient system indicators are up to 2009-2012 China's type 2diabetes prevention and control guidelines;fundus laser treatment was performed in 249 eyes of 409 cases;88 cases(89 eyes)underwent vitrectomy,the vsual acuity was improved in 33.21% of patients;55.36% of the patients had no longer deterioration of vision after treatment.During the follow-up period,no enucleation occurred.Conclusion:The DR clinical control measures can reduce DR missed diagnosis,misdiagnosis and missed treatment rate,providing experience for the prevention and treatment of DR in the region.

关 键 词：糖尿病视网膜病变 临床防治 措施 

分 类 号：R587.2[医药卫生—内分泌]