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頁籤選單縮合
題名 | Detection of Diabetic Retinopathy Using Non-Mydriatic Fundus Photography at Chang Gung Memorial Hospital=長庚紀念醫院運用不需散瞳眼底攝影於偵測糖尿病視網膜病變 |
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作者 | 劉鳳炫; 楊尚賢; 林仁德; 莊峻鍠; | 書刊名 | 長庚醫學 |
卷期 | 21:3 1998.09[民87.09] |
頁次 | 頁251-257 |
分類號 | 416.746 |
關鍵詞 | 糖尿病視網膜病變; 不需散瞳眼底攝影; Diabetic retinopathy; Non-mydriatic fundus photography; |
語文 | 英文(English) |
中文摘要 | 背景:雖然近年來糖尿病照護有長足的進步,糖尿病視網膜病變仍舊是造成糖尿 病人眼睛失明最主要的原因。本研究的目的在瞭解於長庚紀念醫院新陳代謝科追蹤治療之 糖尿病患其視網膜病變的發生率和嚴重度。 方法:我們觀察在門診追蹤並於1994年 4月至 6月接受不需散瞳眼底攝影檢查之糖尿病病 人的眼底。 結果:本研究包括 694位第二型糖尿病病人,他們的平均年齡為56.2��11.1歲,而平均罹 病時間為 5.9�� 5.7年。其中有 171位(25%)患者有視網膜病變,包括背景性視網膜病變 109位(15.7%),前增殖性視網膜病變45位(6.5%),及增殖性視網膜病變17位(2.4%)。視網 膜病變的出現與糖尿病病人的罹病時間有很好的相關性(p=0.0024)。 結論:用不需散瞳眼底攝影來偵測糖尿病視網膜病變是一種很好的篩檢方法。糖尿病視網膜 病變在本院新陳代謝科門診第二型糖尿病病人的發生率為25%,其中以背景性病變居多。最 有意義的危險因子為較長的罹病時間。 |
英文摘要 | Background: Despite recent improvements in the care of diabetic patients, diabetic retinopathy remains the most common cause of blindness among the diabetic population. The aim of this study is to identify the incidence and severity of diabetic retinopathy among diabetiic patients followed-up at the metabolic clinics of the Chang Gung Memorial Hospital in Taoyuan, Taiwan. Materials and Methods: We investigated the retinas of diabetic patients Who were followed-up at the metabolic clinics and received non-mydriatic fundus photograph from April 1994 through June 1994. Results: There were 694 patients with type 2 diabetes enrolled in this study. Their mean age was 56.2��11.1 years and the mean number of years since diagnosis was 5.9��5.7 years. Among them, 171 (25%) patients had diabetic retinopathy, including 109 (15.7%) background, 45(6.5%) preproliferative and 17 (2.4%) proliferative cases. The presence of diabetic retinopathy correlated with the number of years since diagnosis of these diabetic patients (odds ratio: 1.03; p=0.0024). Conclusion: Non-mydriatic fundus photography is a good screening method for diabetic retinopathy detection. Twenty-five percent of Type 2 diabetic patients followed-up at our metabolic clinics had diabetic retinopathy with background retinopathy being the most predominant. The most significant risk factor of diabetic retinopathy is the number of years since the patient was diagnosed with Diabetes. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。