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<header class="header flex aic"> <a href="javascript:;" onclick="history.back()" class="fs0 go-back h-1"></a> <div id="lfqr6l5uj" class="title fg1 f42 w-1 ellipsis tac fcf ml10 mr10">國外糖尿病視網(wǎng)膜病變?nèi)绾畏制?/div> <div id="lfqr6l5uj" class="right-menu fs0 h-1 flex"> <a href="javascript:;" on="tap:header-sub-wrap.toggle" class="top-icon-menu h-1 fs0"></a> </div> </header> <mip-toggle id="header-sub-wrap" class="none" layout="nodisplay"> <div id="lfqr6l5uj" class="top_menus"> <div id="lfqr6l5uj" class="clr"> <a href="http://m.international-tax-support.com" class="fll cell">首頁</a> <a class="fll cell yiyuan">醫(yī)院</a> <a href="http://m.international-tax-support.com/dise/" class="fll cell jibing">疾病</a> <a href="http://m.international-tax-support.com/doctor/" class="fll cell yisheng">醫(yī)生</a> <a href="http://m.international-tax-support.com/zx/" class="fll cell zixun">資訊</a> <a href="http://m.international-tax-support.com/video/" class="fll cell shipin">視頻</a> <a 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class="icon-time">2025-09-30</time> <span id="lfqr6l5uj" class="icon-eye ml40"> 2286人瀏覽</span> </div> <div id="lfqr6l5uj" class="detail-content wbwr f32 lh52 pt20 taj"><p>國外糖尿病視網(wǎng)膜病變主要分為非增殖期和增殖期兩階段，具體采用國際臨床分級(jí)標(biāo)準(zhǔn)（ICDR）分為5期：無明顯視網(wǎng)膜病變、輕度非增殖期、中度非增殖期、重度非增殖期、增殖期。分期依據(jù)包括微動(dòng)脈瘤、視網(wǎng)膜出血、硬性滲出、靜脈串珠樣改變、新生血管等眼底特征。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/40/FC/oYYBAGjJB1OATfeDAAuSxVs5nD8133.jpg"></p><p>非增殖期糖尿病視網(wǎng)膜病變?cè)缙趦H表現(xiàn)為微動(dòng)脈瘤或點(diǎn)狀出血，視力影響較小。隨著病情進(jìn)展，可能出現(xiàn)棉絮斑、靜脈擴(kuò)張等中度表現(xiàn)，此時(shí)需密切監(jiān)測血糖及眼底變化。重度非增殖期以視網(wǎng)膜內(nèi)微血管異常和廣泛出血為特征，存在較高進(jìn)展風(fēng)險(xiǎn)。增殖期則出現(xiàn)新生血管形成、玻璃體出血甚至視網(wǎng)膜脫離，是導(dǎo)致失明的主要原因。光學(xué)相干斷層掃描和熒光素血管造影可輔助評(píng)估病變范圍及嚴(yán)重程度。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/40/FC/oYYBAGjJB1SARDAuAAauneoBI1o586.jpg"></p><p>糖尿病視網(wǎng)膜病變分期需結(jié)合眼底檢查結(jié)果綜合判斷，不同國家可能采用ETDRS或AAO分級(jí)等補(bǔ)充標(biāo)準(zhǔn)?；颊叽_診糖尿病后應(yīng)每年進(jìn)行散瞳眼底檢查，若發(fā)現(xiàn)視網(wǎng)膜病變需縮短復(fù)查間隔。嚴(yán)格控制血糖、血壓和血脂可延緩病變進(jìn)展，增殖期患者可能需要接受全視網(wǎng)膜激光光凝或抗VEGF藥物治療。</p><p>建議糖尿病患者保持規(guī)律運(yùn)動(dòng)與均衡飲食，限制高糖高脂食物攝入。定期監(jiān)測糖化血紅蛋白水平，避免劇烈運(yùn)動(dòng)或重體力勞動(dòng)以防眼底出血。出現(xiàn)視物模糊、飛蚊癥等癥狀時(shí)須立即就醫(yī)，晚期病變需由眼科醫(yī)生制定個(gè)性化治療方案。</p></div> <div id="lfqr6l5uj" class="f24 fc9 lh40 ta-j">免責(zé)聲明：本頁面信息為第三方發(fā)布或內(nèi)容轉(zhuǎn)載，僅出于信息傳遞目的，其作者觀點(diǎn)、內(nèi)容描述及原創(chuàng)度、真實(shí)性、完整性、時(shí)效性本平臺(tái)不作任何保證或承諾，涉及用藥、治療等問題需謹(jǐn)遵醫(yī)囑！請(qǐng)讀者僅作參考，并自行核實(shí)相關(guān)內(nèi)容。如有作品內(nèi)容、知識(shí)產(chǎn)權(quán)或其它問題，請(qǐng)發(fā)郵件至suggest@fh21.com及時(shí)聯(lián)系我們處理！</div> <div id="lfqr6l5uj" class="pt40"> <a href="http://m.international-tax-support.com/zmip/17676269.html" class="flex aic next-article ovh f28 fc6 pr15"> <span id="lfqr6l5uj" 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