摘要
目的评价数字化远程医疗模式在社区眼病筛查中的运行效果。方法利用数字化远程医疗信息技术,建立社区卫生服务中心与专科医疗机构间的技术合作平台;选择北京市西城区德胜地区年龄55岁及以上的社区居民为研究对象,采用公告告知、居民自愿参加的方式,使用数码眼底照像设备,由社区卫生服务中心人员采集患者眼底图像资料,通过资料上传、专科医生读片、信息反馈的途径,实现对社区居民的眼病筛查。结果 2009年6月—2012年8月共筛查社区人群9 798例,占社区常住人口的8.72%。阅片结果分析显示,不包括白内障和视网膜动脉硬化在内的眼病检出率为21.32%(2 089/9 798),其中黄斑病变690例(7.04%),青光眼及可疑青光眼518例(5.29%),糖尿病视网膜病变180例(1.84%),视网膜静脉阻塞44例(0.45%)。此外,筛查人群中检出白内障2 876例(29.35%),眼底动脉硬化2 657例(27.12%)。无法阅片者344例(3.51%)。参加筛查的糖尿病患者中糖尿病视网膜病变的检出率为8.93%(174/1 948)。参加筛查的高血压人群中视网膜动脉硬化检出率为36.09%(1 464/4 056)。结论应用数字化远程医疗模式在社区进行眼病筛查是一种有效的眼病筛查途径,有助于合理利用医疗资源、早期发现患者,并将疾病的早期预防工作向社区前移。
Objective To evaluate the effect of digital remote medical model in community eye disease screen- ing. Methods Cooperation platform between community health centers and specialist medical institutions was established with digital remote medical information technology. Residents 55 years old or above in Desheng Community, Xicheng District, Bei- jing were invited to participate voluntarily in eye disease screening using community buUetin. Staff of the community health center performed external and fundus photography with digital camera and uploaded the data. Diagnosis feedback was given to the sub- jects after grading by specialists. Results From June 2009 to August 2012, 9 798 residents were screened which accounted for 8.72% of the community population. Eye diseases （except cataract and retinal arteriosclerosis） were found in 21.32% （2 089/ 9 798） of the subjects, including 690 cases （7.04%） of maculopathy, 518 cases （5.29%） of glaucoma and suspected glauco- ma, 180 cases （ 1.84% ） of diabetic retinopathy, and 44 cases （0. 45% ） of retinal vein obstruction. In addition, 2 876 （29.35%） cases were diagnosed as cataract and 2 657 （27. 12% ） as retinal arteriosclerosis. The photographs of 344 （3.51%） subjects could not be graded. Diabetic retinopathy were detected in 8.93% （ 174/1 948） of the subjects with diabetes mellitus and retinal arteriosclerosis was detected in 36. 09% （ 1 464/4 056） of the patients with hypertension. Conclusion Digital remote medical model is an effective method to screen eye disease in the community. This model can promote rational use of medical re- sources and early detection and prevention of eye diseases.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第13期1484-1486,共3页
Chinese General Practice
关键词
眼病筛查
流行病学
远程会诊
Eye disease screening
Epidemiology
Remote consultation
