Analysis The Delayed Diagnosis And Treatment Related Factors Of Diabetic Retinopathy Vitrectomy Surgery In Patients Vitrectomy

Objective: Analysis the delayed diagnosis and treatment related factors ofDiabetic retinopathy vitrectomy surgery in patients Vitrectomy，In order to reduce DRrate of blindness or low vision to provide related basisMethods: Collection in May2012to May2013issue of the first clinical hospitalof shanxi medical university and eye hospital in Shanxi Province has a large numberof vitreous hemorrhage is not absorption and new blood vessels membrane pulldiabetic retinopathy of the retinal detachment underwent surgical treatment of237cases of patients with vitreous cutting data. Preoperative and postoperative low visionand blindness of classification by2009the World Health Organization (World HealthOrganization, WHO) modification of the standards set; Collect patients withpreoperative and postoperative vision; At present day and the day after; Operations,when operation costs. Related questionnaire survey carried out on the patient.-Measurement data to mean standard deviation (xs); Using Х2test forcategorical data; Using Logistic regression analysis, factor analysis of the influence ofdiagnosis and treatment of diabetic retinopathy patients. Input the data into thecomputer twice to ensure accuracy.Results:(1) low preoperative monocular vision,40cases (15.6%), eyes,46cases (17.9%), low vision monocular blind,146cases (56.8%), blind eyes,75cases(29.2%); Low monocular vision after surgery in78cases, accounted for32.9%, eyes,41cases (17.3%), low vision monocular blind,42cases (17.7%), eyes blind,36cases(15.2%); Postoperative visual acuity129cases, accounting for40.3%;(2) the mainrelative factors to impact the diagnosis and treatment of patients with later found thatdiabetes and diabetic retinopathy, the low degree of culture, and family living inremote, low family income per capita (p <0.05);(3) medical and ophthalmologist’s failure to require regular eye exam (X2=237.396, p <0.01) is the effect of diagnosisand treatment of patients with medical factors.Conclusion:1residential isolation, family per capita income, educational level, and foundthat diabetic patients with late is delayed diagnosis and treatment of relatedfactors.On-line live in remote areas remote screening for diabetic retinopathy,implement the corresponding measures to protect the diagnosis and treatment ofpatients, such as health insurance and improve medical insurance coverage, such aschronic disease economic subsidies for regular social relief improve patients with lowfamily income per capita, for diabetic retinopathy in patients with low degree ofculture health education, regular physical examination and screening the discoveredin time is change the main measures of diagnosis and treatment of patients withdelayed;2patients with physicians and ophthalmologist failed to request regular eyeexam is factors result in delayed diagnosis and treatment of patients with medicine.For physicians, strengthen the communication between medicine and ophthalmology,establish cooperation between departments; Ophthalmologist for diabetic retinopathyknowledge standardized training, improve the eye doctor to the comprehensive abilityof diagnosis and treatment of diabetic retinopathy, prevention and treatment forpatients with medical causes delay in diagnosis and treatment.