怀孕期间查视网膜病变的低吸收率与先前存在的糖尿病:基于人口的队列研究
Abdulrahman M Alharbi1, Ilana J Halperin2, Baiju R Shah3
1Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Internal Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Diabetes research and clinical practice
|March 28, 2025
概括
怀孕期间对先前存在的糖尿病进行眼睛查的比例非常低,只有18.7%的孕妇在头三个月内进行查. 这突显了预防糖尿病孕妇视力威胁性视网膜病变的关键缺口.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 眼科医生 眼科 眼科
背景情况:
- 怀孕可能会加剧糖尿病视网膜病变,这是可预防失明的主要原因.
- 怀孕期间的眼睛查对于糖尿病视网膜病变的早期检测和管理至关重要.
研究的目的:
- 为了确定预先存在糖尿病的孕妇眼睛查的频率.
- 为了确定与怀孕期间眼睛查吸收相关的因素.
主要方法:
- 分析了来自加拿大安大略省 (2015年4月至2020年3月) 的人口级数据.
- 包括对先前存在糖尿病的个体的活产.
- 检查了查与社会人口统计学,临床和卫生服务变量之间的关联.
主要成果:
- 在6708例怀孕中,18.7%的孕妇在头三个月进行了眼睛查,45.4%的孕妇在怀孕期间任何时候都进行了查.
- 在先前治疗视网膜病变,糖尿病持续时间较长和使用胰岛素时观察到更高的查率.
- 怀孕180天内从内分泌学家那里得到护理,显著增加了眼科检查的可能性.
结论:
- 在孕妇中,预先存在的糖尿病患者中,第一季度的眼睛查率非常低.
- 不到一半的孕妇在怀孕结束时接受了眼科查,尽管存在重大风险.
- 需要紧急干预,以改善这种高风险人群的眼科护理准入和遵守.
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