普陀区某社区糖尿病眼病远程筛查及转诊结果分析

Analysis of remote screening and referral results of diabetic eye disease in a community of Putuo District

目的:通过对普陀区某社区糖尿病眼病筛查及转诊结果分析,为本地糖尿病眼病综合防治策略的制定提供依据。方法:2015年,根据普陀区"疾病控制信息管理平台-糖尿病管理模块"和"社区糖尿病小屋"管理确诊的DM患者信息库,通过整群抽样的方法,最终选取了长征和桃浦两个社区的3:575例确诊DM患者作为研究对象;通过筛查-远程诊断-分级转诊-治疗-社区随访-健康管理的模式为他们提供一系列健康服务。结果:13.06%患者为糖尿病视网膜病变(DR)。糖尿病(DM)总人群视力<0.3的589眼(8.23%);DR患眼中视力<0.3者为17.49%,视力明显低于未患DR的糖尿病患者(χ~2=11.29,P<0.05);需转诊者699例,占19.55%;转诊率46.92%。结论:开展社区糖尿病患者眼病筛查可有效降低DM患者糖尿病视网膜病变视力损伤率,提高糖尿病患者眼健康意识。

Objective： Through diabetic eye disease screening and analysis of the referral results in the community in Putuo District to provide the basis for the prevention and treatment strategy of local diabetic ophthalmopathy. Methods： In 2015, according to the information database of patients diagnosed with DM in Putuo District ＂disease control information management platform for diabetes management module＂ and ＂community diabetes hut＂ management, 3 575 DM patients were finally selected in two communities of Changzheng and Taopu as the research objects through cluster sampling method. A series of health services were provided for them through the mode of screening - remote diagnosis - grading referral - treatment - community- based follow-up - health management. Results： The proportion of patients with diabetic retinopathy （DR） was 13.06%. The vision of 589 eyes （8.23%） of the total proportion of patients with MD was 〈0.3. The vision of 17.49% of DR patients was 〈0.3, whose visual acuity was significantly lower than that of diabetic patients without DR （χ2=11.29, P〈0.05）. A total of 699 patients needed referral, accounting for 19.55% and the referral rate was 46.92%. Conclusion： The development of the eye disease screening in the community diabetic patients can effectively reduce the diabetic retinopathy visual injury rate of the diabetic patients and improve the eye health consciousness of the diabetic patients.