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糖尿病视网膜病变的早期预防及治疗
http://www.100md.com 《中华现代眼科学杂志》 2005年第3期
糖尿病视网膜病变,糖尿病视网膜病变,预防,治疗,1资料与方法,2结果,3讨论,参考文献
     【摘要】目的探讨糖尿病视网膜病变(DR)检查及早期预防诊治的必要性。方法采用查视力、裂隙灯显微镜和散瞳检查眼底已确诊的糖尿病患者212例(424眼)。结果在212例糖尿病中共查出81例(152眼)为糖尿病视网膜病变患者,其中9例(18眼)经行氩离子激光治疗,7例(14眼)因继发严重并发症而致不可逆盲目。结论糖尿病性视网膜病变的检查、治疗应成为糖尿病系统联合治疗的一部分。早期发现、严格正规的内科治疗,将血糖水平控制在正常范围内,对已经发生糖尿病性视网膜病变后应6~12个月做1次眼科检查。早期诊治、长期随访、及时激光光凝治疗,可预防糖尿病视网膜病变盲目的发生。

    关键词 糖尿病视网膜病变 预防 治疗

    Diabetic retinopathy’s earlier prevention and therapy

    Xie Xingong,Liu Suhui,Li Min

    Department of Ophthalmology,404 Factory Worker’s Hospital,Lanzhou 732850.

    【Abstract】ObjectiveTo study the necessity of the examination and the earlier prevention and therapy on diabetic retinopathy.Methods212 cases(424 eyes) were diagnosed diabetes by eyesight examination and check eyeground with slit lamp microscope and mydriasis.ResultsIn 212 cases,there were 81cases (152 eyes) of diabetic retinopathy,9 among those cases (18 eyes) accepted treatment with argon ion laser,but 7 cases happened irreversible blind because of the serious complications.ConclusionThe examination and therapy of diabetic retinopathy should be a part of the diabetes system consociation treatment.Early finding and regularly strict medicine treatment,controlling the blood sugar level within the scope of normal,doing the ophthalmology check every 6~12 months when have already taken place the diabetic retinopathy,early diagnosis and treatment,long-term with follow-up,and treating with argon ion laser in time,all above will prevent the occurrence of diabetic retinopathy. ......

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