【关键词】  糖尿病视网膜病变,

　　【摘要】目的探讨糖尿病视网膜病变（DR）检查及早期预防诊治的必要性。方法采用查视力、裂隙灯显微镜和散瞳检查眼底已确诊的糖尿病患者212例（424眼）。结果在212例糖尿病中共查出81例（152眼）为糖尿病视网膜病变患者，其中9例（18眼）经行氩离子激光治疗，7例（14眼）因继发严重并发症而致不可逆盲目。结论糖尿病性视网膜病变的检查、治疗应成为糖尿病系统联合治疗的一部分。早期发现、严格正规的内科治疗，将血糖水平控制在正常范围内，对已经发生糖尿病性视网膜病变后应6～12个月做1次眼科检查。早期诊治、长期随访、及时激光光凝治疗，可预防糖尿病视网膜病变盲目的发生。

　　关键词　糖尿病视网膜病变　预防　治疗

　　Diabetic retinopathy’s earlier prevention and therapy

　　Xie Xingong,Liu Suhui,Li Min

　　Department of Ophthalmology,404 Factory Worker’s Hospital,Lanzhou 732850.

　　【Abstract】ObjectiveTo study the necessity of the examination and the earlier prevention and therapy on diabetic retinopathy.Methods212 cases(424 eyes) were diagnosed diabetes by eyesight examination and check eyeground with slit lamp microscope and mydriasis.ResultsIn 212 cases,there were 81cases (152 eyes) of diabetic retinopathy,9 among those cases (18 eyes) accepted treatment with argon ion laser,but 7 cases happened irreversible blind because of the serious complications.ConclusionThe examination and therapy of diabetic retinopathy should be a part of the diabetes system consociation treatment.Early finding and regularly strict medicine treatment,controlling the blood sugar level within the scope of normal,doing the ophthalmology check every 6～12 months when have already taken place the diabetic retinopathy,early diagnosis and treatment,long-term with follow-up,and treating with argon ion laser in time,all above will prevent the occurrence of diabetic retinopathy.

　　Key wordsdiabetic retinopathypreventiontherapy

　　糖尿病性视网膜病变（DR）是糖尿病的严重并发症之一，对患者视力造成严重损害，晚期常可导致不可逆性盲。其发生及严重程度与糖尿病的病程长短和血糖控制程度密切相关。因此，应用适当的筛查方法、早期发现、早期诊治、长期随访，可预防糖尿病视网膜病变致盲的发生。现将笔者于2001年5月～2004年7月对212例已经确诊的糖尿病患者进行眼科检查，结果报告如下。

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