基于移动互联网眼底成像的糖尿病眼底病变防控模式与-中国数字医学.PDFVIP

信息化论坛 Information Forum 基于移动互联网眼底成像的 糖尿病眼底病变防控模式与实践研究 ①② ③ ④ ⑤ ② ＊ ＊＊ ＊＊＊ 梁志伟 周丽文 　张晓阳 　徐宁 　梁倩蓉 赖小平 　袁野 周毅 摘 要 目的：为基层社区、远程专科机构和团队共同对辖区糖尿病患者眼底病变开展筛查提供技术支持，提升重大慢性非 传染性疾病防控能力。方法：设计一个可用于防控某单种重大慢性非传染性疾病、具有业务-信息-金融互流，以及价值共赢 的流程图；选出20名拟预试对象，采用手持眼底镜对其眼底部进行拍照，再通过协同服务平台将所采集图片远程传送到异地 的专科机构和团队进行研读；对居民现场询问或活动结束一周随访，进一步筛查分析。结果：入选的20名拟预试对象中，17 名接受并参与了预试，其中8名发现有眼底病变，且当中1名伴有疑似眼底渗血征。结论：通过手持眼底镜和互联移动操作平 台卫生医疗协同服务，开展区域防控居民糖尿病眼底病变筛查结合健康教育，可构建区域卫生医疗协同共赢服务模式，有助 于提升重大慢性非传染性疾病防控能力。 关键词　数字化区域卫生医疗 协同服务模型 移动互联手持眼底镜 糖尿病眼底病变筛查 慢性非传染性疾病防控 Doi:10.3969/j.issn.1673-7571.2016.11.001 [中图分类号] TP393;R587.1 [文献标识码] A Prevention and Control Mode and Practice of Diabetic Fundus Lesions Based on the Mobile Internet Fundus Imaging / LIANG Zhi- wei, ZHOU Li-wen, ZHANG Xiao-yang et al//China Digital Medicine.-2016 11(11): 02 to 05 Abstract Objective: To provide technical support to the screening of fundus lesions of diabetics in the jurisdiction carried out by grassroots communities, remote specialized agencies and teams, and improve the prevention and control capacity of major chronic non-communicable diseases. Methods: A flow chart which can be used in the prevention and control of a single major chronic non- communicable disease and has business-information-financial flow and value co-win; 20 test objects are selected, the ophthalmoscope is carried a hand to take photos for their fundus, and then through the collaborative service platform images collected are delivered to a specialized agency and a team in a another place for study; residents are asked on site, or the follow-up is completed one week after