摘要
糖尿病性视网膜病变(DR)是最为常见的糖尿病眼部并发症,是导致我国30岁以上成人视功能损伤的重要原因。定期进行眼底检查并合理控制血糖水平可预防98%致盲性DR。然而,由于医疗资源分布不均,患者健康意识薄弱,目前仅50%~60%糖尿病患者每年接受DR筛查,因此需要建立DR早筛、早防、早治疗和终身随访监测的防治体系。本文从DR全程监测的重要性、分级诊疗是DR的防控重点、重视青少年DR的随访监测3个方面展开论述,强调应对不同类型糖尿病患者进行多级别、多维度、多模式精准全程监测,以期促进临床提高DR的防治效率,积极减轻与疾病相关的家庭和社会负担。
Diabetic retinopathy(DR)is one of the severe complications of diabetes,and also the most common reason of vision loss in Chinese adults over 30 years old.Regular fundus examination and continuous glucose monitoring can prevent 98%of blindness caused by DR.However,due to the irrational allocation of medical resources and the weak awareness of DR patients,only about 50%to 60%of diabetes patients have an annual DR screening.Therefore,it is necessary to build a follow-up system for early screening,prevention,treatment and lifelong monitoring of DR patients.In this review,we discuss the importance of lifelong monitoring,the hierarchical medical system and the follow-up of pediatric DR patients.Novel and multi-level screening methods are cost-saving to patients and cost-effective to healthcare systems,and also can help improve the detection and early treatment of DR.
作者
魏文斌
杨婧研
Wei Wenbin;Yang Jingyan(Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Ophthalmology,Beijing Key Laboratory of Ophthalmology&Visual Sciences,Beijing 100730,China)
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2023年第3期165-168,共4页
Chinese Journal of Ophthalmology
关键词
糖尿病视网膜病变
随访研究
普查
Diabetic retinopathy
Follow-up studies
Mass screening
作者简介
通信作者:魏文斌,Email:weiwenbintr@163.com。
