糖尿病管理模式与糖尿病视网膜病变的防控

Management pattern of diabetes meltitus and prevention and control of diabetic retinopathy

最近，国家卫生部疾病预防控制局颁发了糖尿病管理模式推广项目实施方案和技术操作手册，这是我国眼底病防治史上具有里程碑意义的事件。此项目将由综合医院、社区卫生服务机构及疾病预防控制机构协作执行。这为糖尿病视网膜病变的防控提供了良好的平台。所有参与防控的人员应坚持以患者为本的原则，建立、健全个人健康档案，为患者提供咨询、筛查、终生定期检查、定期随访及适时和适当治疗的条件；坚持预防、治疗与科学研究相结合的原则，利用巨大的人口资源优势，探讨糖尿病视网膜病变发病机制与病变发展的危险因素等难题，为防治糖尿病盲作出新贡献。

The Bureau of Disease Prevention and Control, National Ministry of Health, recently released a project for the management of diabetes mellitus along with a technical operational manual. This is a landmark event in the prevention and management of ocular fundus diseases in China. This project will be carried out through collaboration of general hospitals, community health service units, and disease prevention and control organizations. It provides an excellent platform for the prevention and control of diabetic retinopathy. In order to prevent and control this disease, we should follow the patient-centered principle, which includes establishing individual health files, providing consultation for patients, performing screening of diabetic retinopathy, and providing lifelong regular examinations, follow-up and prompt treatments. We should also insist on the combination of prevention, treatment and scientific study to take advantage of a wide array of population resources for studying the pathogenesis and risk factors involved in the development of diabetic retinopathy, and making new contributions in the prevention of blindness due to diabetes.