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糖尿病视神经病变检查方法最新研究进展
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Abstract:
人民生活水平的提高，糖尿病患者正在逐步升高，而糖尿病会导致一系列与眼部相关的并发症，目前对于糖尿病性视神经病变的重视及认知远不及糖尿病性视网膜病变，也是临床医师较易忽视的疾病，而此疾病也会对患者视力造成一定伤害，降低患者生活的幸福感。因此本文主要是对近几年糖尿病性视神经病变的检查方法做出阐述，争取给临床医师提供更多更新的检查方法，对病人做到早发现、早诊断、早治疗，使患者的治疗效果大幅度改善。
With the improvement of people’s living standards, the number of patients with diabetes is gradu-ally increasing, and diabetes can lead to a series of eye-related complications. Currently, diabetic optic neuropathy is far less valued and recognized than diabetic retinopathy, and it is also easier for clinicians to treat it as a disease of neglect; and this disease will also cause certain damage to the patient’s vision and reduce the patient’s happiness in life. Therefore, this article mainly elaborates on the examination methods of diabetic optic neuropathy in recent years, striving to provide clini-cians with more updated examination methods, so as to achieve early detection, early diagnosis and early treatment of patients, so as to maximize the therapeutic effect of patients magnitude improvement.
| [1] | 中国老年型糖尿病防治临床指南编写组, 中国老年医学学会老年内分泌代谢分会, 中国老年保健医学研究会老年内分泌与代谢分会, 等. 中国老年2型糖尿病防治临床指南(2022年版) [J]. 中华内科杂志, 2022, 61(1): 12-50. |
| [2] | 张文博, 聂红平. 糖尿病视神经病变[J]. 中国实用神经疾病杂志, 2016, 19(9): 135-137. |
| [3] | Neuro-Ophthalmology Group of Ophthalmology Branch of Chinese Medical Association (2022) Chinese Expert Consensus on Diagnosis and Treatment of Diabetic Optic Neuropathy (2022). Chinese Journal of Ophthalmolo-gy, 58, 405-411. |
| [4] | Tan, S.W., Cai, G.Q., Li, Q.Y., Guo, Y., Pan, Y.C., et al. (2021) Interhemispheric Functional Connectivity Alterations in Diabetic Optic Neuropathy: A Resting-State Functional Magnetic Resonance Imaging Study. Diabetes, Metabolic Syndrome and Obesity, 14, 2077-2086. https://doi.org/10.2147/DMSO.S303782 |
| [5] | Jiang, Y.P., Liu, W.F., Pan, Y.C., Shu, H.Y., Zhang, L.J., Li, Q.Y., et al. (2021) The Abnormal Fractional Amplitude of Low-Frequency Fluctuation Changes in Patients with Diabetic Optic Neuropathy: A Steady-State fMRI Study. Journal of Integrative Neuroscience, 20, 885-893. https://doi.org/10.31083/j.jin2004090 |
| [6] | Yang, L., Xiao, A., Li, Q.Y., Zhong, H.F., Su, T., Shi, W.Q., et al. (2022) Hyperintensities of Middle Frontal Gyrus in Patients with Diabetic Optic Neuropathy: A Dynamic Amplitude of Low-Frequency Fluctuation Study. Aging (Albany NY), 14, 1336-1350. https://doi.org/10.18632/aging.203877 |
| [7] | 郭雪梅. 扩散张量磁共振成像基本原理及应用[J]. 实用放射学杂志, 2003, 19(9): 840-843. |
| [8] | 崔潇镱, 程洁萍, 张新菊, 等. 磁共振扩散张量成像技术对早期糖尿病视神经病变的诊断价值[J]. 兵团医学, 2021, 19(3): 29-30. |
| [9] | 王梅英. 视网膜疾病的彩色多普勒超声成像[J]. 眼科新进, 2010, 30(11): 1096.
https://doi.org/10.13389/j.cnki.rao.2010.11.033 |
| [10] | 王光璐, 张风, 李雪非, 等. 彩色多普勒超声成像辅助诊断常见眼底病初步总结[J]. 眼科, 1999(4): 213-216. |
| [11] | 张翠, 高霞, 邹菊燕. 探讨眼底荧光血管造影技术在不同眼科疾病中的应用效果[J]. 实用临床护理学电子杂志, 2017, 2(40): 92+96. |
| [12] | 李知, 任耘, 邹莉. 眼底荧光血管造影技术在不同眼科疾病诊断的应用[J]. 吉林医学, 2014, 35(12): 2637. |
| [13] | 杨学真. 糖尿病视神经病变的FFA分析[J]. 北方药学, 2012, 9(4): 58-59. |
| [14] | Huemer, J., Khalid, H., Ferraz, D., Faes, L., Korot, E., et al. (2022) Re-Evaluating Diabetic Papillopathy Using Optical Coherence Tomography and Inner Retinal Sublayer Analysis. Eye (London), 36, 1476-1485.
https://doi.org/10.1038/s41433-021-01664-1 |
| [15] | 廖丁莹, 王建明, 郑玉萍, 等. 糖尿病性视神经病变的OCT图像特点分析[J]. 国际眼科杂志, 2016, 16(10): 1917-1920. |
| [16] | Miura, G. (2023) Visual Evoked Potentials for the Detection of Diabetic Retinal Neuropathy. International Journal of Molecular Sciences, 24, Article No. 7361. https://doi.org/10.3390/ijms24087361 |
| [17] | Ghita, A.M., Parvu, D., Sava, R., Georgescu, L. and Zagrean, L. (2013) Electrophysiological Changes in Optic Neuropathy of Streptozotocin Induced Diabetic Rats. Journal of Medicine and Life, 6, 340-348. |
| [18] | 刘立英, 支爱华, 程秀臻, 等. 糖尿病性视神经病视觉诱发电位的实验研究[J]. 中国临床康复, 2004(28): 6090-6091. |
| [19] | 景桂莲, 岳军, 宋志刚. 糖尿病性视神经病变的临床表现分析[J]. 中国实用神经疾病杂志, 2010, 13(22): 57-58. |
| [20] | Pescosolido, N., Barbato, A., Stefanucci, A. and Buomprisco, G. (2015) Role of Electrophysiology in the Early Diagnosis and Follow-Up of Diabetic Retinopathy. Journal of Diabetes Research, 2015, Article ID: 319692.
https://doi.org/10.1155/2015/319692 |
| [21] | 杨建华, 廖莉. 多焦视网膜电图的临床应用进展[J]. 国际眼科杂志, 2012, 12(10): 1898-1901. |
| [22] | 王梅, 蓝育青, 刘嫣芬, 等. 多焦视网膜电图检测糖尿病早期视功能的变化(英文) [J]. 国际眼科杂志, 2005(4): 618-620. |
| [23] | 孙燕, 罗向霞, 苏兰萍, 等. 糖尿病性视神经病变的检查方法进展[J]. 国际眼科杂志, 2015, 15(6): 1000-1002. |
