数码眼底照相对住院糖尿病患者筛查DR并早期干预的应用价值  

Application value of digital fudus photography in improving early intervention of hospitalized diabetic patients

作　　者：罗会舟 金慧瑜[1] 黄萍[1] 邓建松[1] Hui-Zhou Luo;Hui-Yu Jin;Ping Huang;Jian-Song Deng(Department of Ophthalmology, Liyuan Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430077, Hubei Province, China)

机构地区：[1]华中科技大学同济医学院附属梨园医院眼科

出　　处：《国际眼科杂志》2019年第8期1424-1426,共3页International Eye Science

摘　　要：目的:探讨数码眼底照相机对住院糖尿病患者筛查糖尿病视网膜病变(DR)并早期干预的临床价值。方法:选取2015-01/2016-12在我院内分泌科住院的糖尿病患者130例260眼,进行数码眼底照相检查和FFA检查。结果:数码眼底照相中NPDR 82眼,PDR 28眼。荧光眼底血管造影检查中,NPDR 89眼,PDR 29眼。与FFA检查的金标准结果比较,免散瞳数码眼底照相筛查DR的Kappa值为0.87(>0.61)。两种方法对不同病程分期DR的检出结果无差异(P>0.05)。病程>10a的糖尿病患者,DR的阳性率明显增高(P<0.05)。结论:数码眼底照相对住院糖尿病患者行常规视网膜检查,是早期发现DR的有效方法,进行早期干预对降低DR的致盲率具有重要意义。AIM:To observe the clinical value of digital nonmydriatic funds photography in screening diabetic retinopathy and early intervention of hospitalized diabetic patients. METHODS: Totally 130 diabetic patients hospitalized in Department of Endocrinology of our hospital were selected from January 2015 to December 2016. All patients were underwent non-mydriatic digital fundus photography and fundus fluorescein angiography (FFA). RESULTS: There were 82 eyes diagnosed as non-proliferative diabetic retinopathy (NPDR) and 28 eyes as proliferative diabetic retinopathy (PDR) by non-mydriatic digital fundus photography. There were 89 eyes diagnosed as NPDR and 29 eyes as PDR by FFA. Compared with the result of the gold standard, the Kappa value of non-mydriatic digital fundus photography was 0.87 (>0.61), and the test was consistency. There was no significant difference between the two methods in the detection of diabetic retinopathy in different stages ( P >0.05). The positive rate of diabetic retinopathy was significantly higher in patients with diabetes mellitus over 10a ( P <0.05). CONCLUSION: Digital fundus photography is an effective method for early detection of DR in hospitalized diabetic patients. It is of great significance to reduce the blindness rate of diabetic retinopathy.

关 键 词：数码眼底相机 荧光眼底血管造影 糖尿病视网膜病变 筛查 干预 应用价值 

分 类 号：R587.2[医药卫生—内分泌]