重视糖尿病性视网膜病变的全病程综合管理  

Importance of full-cycle management for diabetic retinopathy

作　　者：沈胤忱 马宇航 王育璠 刘堃[1] 许迅[1] Shen Yinchen;Ma Yuhang;Wang Yufan;Liu Kun;Xu Xun(Department of Ophthalmology,Shanghai General Hospital,School of Medicine,Shanghai Jiao Tong University,National Clinical Research Center for Eye Diseases,Shanghai Key Laboratory of Ocular Fundus Diseases,Shanghai Engineering Center for Visual Science and Photomedicine,Shanghai Engineering Center for Precise Diagnosis and Treatment of Eye Diseases,Shanghai 200080,China;Department of Endocrinology,Shanghai General Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200080,China)

机构地区：[1]上海交通大学医学院附属第一人民医院眼科,国家眼部疾病临床医学研究中心,上海市眼底病重点实验室,上海眼视觉与光医学工程技术研究中心,上海市眼科疾病精准诊疗工程技术研究中心,上海200080 [2]上海交通大学医学院附属第一人民医院内分泌代谢科,上海200080

出　　处：《中华预防医学杂志》2022年第12期1889-1892,共4页Chinese Journal of Preventive Medicine

基　　金：国家自然科学基金(82171071,81870667,81800831);国家重点研发计划(2016YFC0904800,2019YFC0840607);上海市科学技术委员会优秀学术带头人计划(21XD1402700);白求恩·朗沐中青年眼科科研基金(BJ-LM2021010J);松江区科技攻关项目(2020SJ307)。

摘　　要：糖尿病性视网膜病变(diabetic retinopathy,DR)是糖尿病慢性并发症之一,是严重的、难逆转的致盲性眼病,早期难发现、中期难控制、晚期难手术。近期“十四五”全国眼健康规划提出了“完善慢性眼病患者管理模式,构建眼病慢病管理体系”。本项目团队前期运用基于云平台的人工智能技术、联合门诊、云端虚拟病房等方式从早期筛查、进展期多学科协作诊疗、晚期围手术期血糖精细化管理等方面探索DR全病程慢病综合管理。未来亟待将DR慢病管理与全身系统性疾病综合管理融合链接,减少DR导致的盲。Diabetic retinopathy(DR),one of the chronic complications of diabetes,is a serious and irreversible blinding disease.It is difficult to detect in the early stage,to control in the progressive stage,to operate in the advanced stage of DR.Recently,the"14th Five-year plan"for National Eye Health proposed to"improve the management mode of chronic eye disease,and build a chronic disease management system".The project team used artificial intelligence technology based on cloud platform,joint outpatient service,virtual ward to explore the comprehensive management of DR from the aspects of early screening,multidisciplinary collaborative diagnosis and treatment,and refined blood glucose management during perioperative period.In the future,it is urgent to integrate DR chronic disease management with other systemic chronic diseases to reduce the blindness caused by DR.

关 键 词：糖尿病视网膜病变 慢性病 人工智能 疾病管理 多学科协作 

分 类 号：R587.2[医药卫生—内分泌] R774.1[医药卫生—内科学]