上海市某社区糖尿病视网膜病变远程筛查结果分析

Remote screening results for diabetic retinopathy in a community in Shanghai

目的 分析某社区糖尿病视网膜病变(diabetes retinopathy,DR)远程筛查结果,为社区DR的早期干预提供依据。方法 采用横断面研究方法,于2018年1月至2019年12月对上海市江桥镇的1 299例糖尿病患者开展眼健康筛查,运用远程筛查技术及信息化传输方法由上海市眼病防治中心进行DR诊断,采用卡方检验、秩和检验等方法进行统计学分析DR的患病率及影响因素。结果 辖区内DR患者检出率为19.32%;不同年龄组间、不同DR分组间的差异有统计学意义,年龄越大,中重度DR的患病率越高(χ^(2)=79.42,P<0.00);DR患者中视力<0.3的比例为22.98%,显著高于未患DR中的比例(17.40%)(χ^(2)=30.41,P<0.00)。结论 江桥镇糖尿病人群DR患病率处于中等水平,DR的严重程度多为中度,基层社区卫生中心与专业眼防所合作模式的糖尿病眼病筛查模式对DR防治具有重要意义。

Objective To analyze the results of remote screening for diabetic retinopathy(DR) in a community,and to provide a basis for early intervention of DR in the community.Methods A cross-sectional research method was used to conduct eye health screening on 1299 diabetic patients in Jiangqiao Town,Shanghai from January 2018 to December 2019.Using remote screening technology and information transmission methods,DR diagnosis was carried out by Shanghai Eye Prevention Institute.Chi-square test,rank sum test and other methods were used to statistically analyze the prevalence and influencing factors of DR.Results The detection rate of DR patients in the jurisdiction was 19.32%.The differences between different age groups and different DR groups were statistically significant.The older the age,the higher the prevalence of moderate and severe DR(χ~2=79.42,P<0.00).The proportion of DR patients with visual acuity <0.3 was 22.98%,which was significantly higher than that of non-DR patients(17.40%).Conclusion The DR prevalence rate of diabetic population in Jiangqiao Town is at a medium level,and the severity of DR is mostly moderate.The screening model of diabetic eye disease based on the cooperation between community health centers and professional eye care centers is of great significance to the prevention and treatment of DR.