与COVID-19相关的生活方式改变对糖尿病黄斑胀的影响
Bryce P Johnson1, Yu-Guang He1, Zachary M Robertson1
1Department of Ophthalmology, UT Southwestern Medical Center, Dallas, Texas 75390-9057, USA.
International journal of ophthalmology
|January 19, 2024
概括
糖尿病黄斑 (DME) 在COVID-19流行病限制期间没有恶化. 相反,中央黄斑厚度显著下降,这表明DME患者在此期间略有改善.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19大流行,社会就实行了一些限制,引发了人们对糖尿病黄斑胀 (DME) 等慢性病患者健康状况恶化的担忧.
- 管理DME通常需要频繁的办公室访问,这使得这些患者在锁定期间特别容易受到治疗中断的干扰.
研究的目的:
- 评估COVID-19大流行早期糖尿病黄斑胀 (DME) 的进展情况.
- 评估与大流行相关的限制是否影响了DME患者的健康结果,包括视力敏度和黄斑厚度.
主要方法:
- 对370名已确诊的DME患者 (724只眼睛) 进行了多中心回顾性图表审查.
- 分析了2019年1月至2021年7月的数据,分为流行前,流行高峰和重新调整时期.
- 关键的结果措施包括视力敏度,BMI,BP,HbA1c,黄斑厚度 (OCT),坚持和治疗.
主要成果:
- 没有观察到BMI,静缩血压或静缩血压的显著变化.
- 血红蛋白A1c (HbA1c) 在大流行期间的峰值期间显示出最小的增加,但恢复到基线.
- 中部黄斑厚度在所有时期都显著下降,从329.5微米降至316.6微米.
结论:
- 糖尿病黄斑 (DME) 在COVID-19大流行期间没有恶化;观察到黄斑厚度的统计学上显著改善.
- 意想不到的改善的潜在解释包括延迟的视网膜变化,增加治疗频率或积极的生活方式改变.
- 需要进一步的研究来阐明这些发现背后的确切机制.
关键词:
在 COVID-19 疫情中,糖尿病性黄斑胀 糖尿病性黄斑胀糖尿病视网膜病变 糖尿病视网膜病变光学连贯性断层扫描 (optical coherence tomography) 是一种光学连贯性断层扫描技术.更多相关视频
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