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[高血压视网膜病变筛查与诊断的当前方法]

[Current approach for hypertension retinopathy screening and diagnosis].

作者信息

Kiseleva T N, Vlasov S K

出版信息

Vestn Oftalmol. 2011 May-Jun;127(3):44-8.

Abstract

Literature review is devoted to early diagnosis and screening of hypertension retinopathy (HR). The data of large epidemiological trials are presented, they prove an association of HR with stroke, coronary heart disease, risk stratification of these conditions is estimated, besides effect of blood pressure level on HR signs onset is studied. Pathophysiology of main clinical stages of retina impairment in arterial hypertension is discussed. Early diagnosis using ophthalmoscopy, fundus photo, hemodynamics and hydrodynamics studies is of great importance. Using classification clinicians can control and monitor patients without HR signs, screen risk factors of cardiovascular diseases in patients with mild HR. According to classification the following stages are presented: no HR signs, mild and moderate stages and malignant HR.

摘要

文献综述致力于高血压视网膜病变(HR)的早期诊断和筛查。文中呈现了大型流行病学试验的数据,这些数据证实了HR与中风、冠心病之间的关联,评估了这些疾病的风险分层,此外还研究了血压水平对HR体征出现的影响。讨论了动脉高血压中视网膜损伤主要临床阶段的病理生理学。利用检眼镜检查、眼底照相、血流动力学和流体动力学研究进行早期诊断具有重要意义。通过分类,临床医生可以对无HR体征的患者进行控制和监测,筛查轻度HR患者的心血管疾病风险因素。根据分类,呈现了以下阶段:无HR体征、轻度和中度阶段以及恶性HR。

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