糖尿病性视网膜病变的筛查及护理配合

The screening and nursing coordination in patients with diabetic retinopathy

目的了解糖尿病患者视网膜病变的发生状况，为指导糖尿病性视网膜病变护理提供科学依据。方法配合医生对已确诊的380例糖尿病患者进行眼部视力、裂隙灯、眼底检查，对筛查出的患者进行眼底荧光血管造影（FFA）进一步确诊，收集相关实验室检查及个人资料。结果380例糖尿病患者中有126例患糖尿病性视网膜病变，发生率为33．16％。结论糖尿病性视网膜病变与糖尿病病程、空腹血糖水平、高血压、高血脂显著相关。应早筛查、早发现、早治疗和护理干预，延缓病情发展，是糖尿病患者防盲的关键。

Objective To research the prevalence and related risk factors in patients with diabetic retinopathy, and to find scientific methods of nursing guidance for the patients. Methods A total of 380 diabetic mellitus patients were studied. The study included collection of relevant laboratory tests and personal data, as well as a serial examination including visual acuity, slit lamp microscope, indirect ophthalmoscope and fundus fluorescein angiography （FFA） . Results There were 126 cases of diabetic retinopathy in 380 diabetic mellitus patients. The incidence rate was 33. 16%. Conclusions Duration, the level of blood glucose, hypertension and hyperlipidemia are the major risk factors of development of DR. Early screening, early detection, early treatment and nursing interventions are the key factors to prevent the diabetic mellitus patients suffering from blindness.