在津巴布韦糖尿病视网膜病变的流行和发病率:数字光镜查的可行性
Alvern N Mutengerere1, Adrian T M Musengi1, Martina Kawome2
1SolidarMed, Masvingo, Zimbabwe.
Journal of diabetes research
|January 28, 2026
概括
糖尿病视网膜病变 (DR) 查使用数字基底镜 (DF) 是可行的在服务不足的津巴布韦社区. 较高的DR患病率和发病率凸显了增加查和资源的需要,特别是对于HbA1c升高的患者.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 糖尿病视网膜病变 (DR) 是工作年龄成人失明的主要原因.
- 服务不足的社区往往无法获得必要的DR查计划.
- 早期诊断和治疗对于预防视力丧失至关重要.
研究的目的:
- 评估在津巴布韦马斯文戈的DR查中整合数字底部拷贝 (DF) 的可行性.
- 在以前未经研究的人群中评估DR的患病率和进展.
- 确定与DR及其进展相关的基线变量.
主要方法:
- 一项观察性研究涉及202名18岁以上的参与者在津巴布韦马斯文戈.
- 数字基底拷贝 (DF) 用于基线和1年后续的DR评估.
- 远程眼科医生诊断和物流回归分析相关因素.
主要成果:
- 在基线时,41.6%的参与者被诊断为DR.
- 在最初没有DR的人群中,每年DR发病率为6.8%.
- 血红蛋白A1c (HbA1c) 水平升高与DR的几率增加相关 (p=0.03).
结论:
- 将DF嵌入常规实践是DR查在服务不足的环境中可行的.
- 在Masvingo的高DR率需要增加医疗保健资源进行查.
- 对糖尿病管理不良 (HbA1c升高) 的患者优先进行DF查,可以预防失明.
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