如何发挥眼保健在心脑血管疾病防治中的作用?

How to exert the role of eye care in the prevention and treatment of cardiovascular and cerebrovascular diseases

眼底视网膜检查为非侵入性、直接观察系统性微血管改变的唯一途径,国外多项流行病调查及队列研究证实,视网膜微血管改变及其视网膜病变为预测心脑血管疾病的发生、发展、治疗效果及预后提供了重要的临床指标。对社区人群采用数码眼底照相的筛查模式,不仅能对可预防盲的眼病(青光眼、糖尿病视网膜病变)进行筛查,而且结合高血压、高血糖、高血脂,检测视网膜微血管改变,对心脑血管疾病进行预测。此筛查模式费用低、效率高,受到社区医院欢迎,具有推广前景。

The value of fundus examination, the unique method,is in direct noninvasive investigation of the systemic microvascular. Several epidemiologic survey and cohort studies have demonstrated that retinal microvascular changes and retinopathy provide important clinic indexes for predicting incidence, development, therapeutic result and prognosis of cardiovascular and cerebrovascular diseases. The screening mode of digital fundus photography among community-dwelling population not only can investigate the eye diseases of preventable blindness （glaucoma, diabetic retinopathy）, but also predict cardiovascular and cerebrovascular diseases through evaluating retinal microvascular changes combined with clinic features such as hypertension, higher plasma glucose, higher plasma lipid. The community hospitals are appreciated such inexpensive effective screening mode, which can be extended further.