非增殖性糖尿病视网膜病变的治疗现状

The Current Situation of Treatment for Non-Proliferative Diabetic Retinopathy

随着人口老龄化、城市化进展迅速,不平衡的饮食搭配、突出的三高问题、肥胖、遗传等诸多因素导致2型糖尿病成为当代社会人类健康最大威胁之一,而微血管病变所带来的慢性并发症糖尿病视网膜病变(diabetic retinopathy, DR)患病率也逐渐升高,DR是糖尿病患者群体主要致盲疾病之一,根据进展程度及视网膜病变表现分为非增殖性糖尿病视网膜病变(non-proliferative diabetic retinopathy, NPDR)及增殖性糖尿病视网膜病变(proliferative diabetic retinopathy, PDR)。长久以来,对PDR治疗的研究较为透彻,而NPDR的治疗方式不尽详细。本文收集近几年国内外关于非NPDR的治疗方式,旨在增进临床医生对该病的了解,更有效地延缓糖尿病视网膜病变进展,提高患者生活质量。

With the rapid development of population aging and urbanization, type 2 diabetes has become one of the greatest threats to human health due to many factors, such as unbalanced diet, prominent three high problems, obesity, genetics and so on. DR is one of the main blinding diseases in diabetic patients. According to the degree of progression and retinopathy, DR can be divided into non-proliferative diabetic retinopathy (NPDR) and proliferative diabetic retinopathy (PDR). For a long time, the research on the treatment of PDR is more thorough, but the treatment of NPDR is not detailed. This paper collects the treatment methods of NPDR at home and abroad in recent years, aiming to improve the understanding of the disease among clinicians, delay the progress of diabetic retinopathy more effectively, and improve the quality of life of patients.