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慢性糖尿病性视网膜病变中视网膜氧合的理论估算。

Theoretical estimation of retinal oxygenation in chronic diabetic retinopathy.

机构信息

University of Colorado Denver, Rocky Mountain Lions Eye Institute, Aurora, CO, USA; University of Colorado Denver, Department of Ophthalmology, Denver, CO, USA.

University of Colorado Denver, Department of Physics, Denver, CO, USA.

出版信息

Comput Biol Med. 2015 Mar;58:154-62. doi: 10.1016/j.compbiomed.2014.12.021. Epub 2015 Jan 5.

DOI:10.1016/j.compbiomed.2014.12.021
PMID:25660722
Abstract

This paper uses computer modeling to estimate the progressive decline in oxygenation that occurs in the human diabetic retina after years of slowly progressive ischemic insult. An established model combines diffusion, saturable consumption, and blood capillary sources to determine the oxygen distribution across the retina. Incorporating long-term degradation of blood supply from the retinal capillaries into the model yields insight into the effects of progressive ischemia associated with prolonged hyperglycemia, suggesting time-scales over which therapeutic mitigation could have beneficial effect. A new extension of the model for oxygen distribution introduces a feedback mechanism for vasodilation and its potential to prolong healthy retinal function.

摘要

本文通过计算机建模来估计人类糖尿病视网膜在多年缓慢进行性缺血损伤后,其氧合作用逐渐下降的情况。一个成熟的模型将扩散、饱和消耗和毛细血管血液源结合起来,以确定视网膜的氧气分布。将视网膜毛细血管长期血液供应退化纳入模型中,可以深入了解与长期高血糖相关的进行性缺血的影响,表明治疗缓解可能产生有益效果的时间范围。该模型的氧分布新扩展引入了血管扩张的反馈机制及其延长健康视网膜功能的潜力。

相似文献

1
Theoretical estimation of retinal oxygenation in chronic diabetic retinopathy.慢性糖尿病性视网膜病变中视网膜氧合的理论估算。
Comput Biol Med. 2015 Mar;58:154-62. doi: 10.1016/j.compbiomed.2014.12.021. Epub 2015 Jan 5.
2
Vasodilation and the etiology of diabetic retinopathy: a new model.血管舒张与糖尿病视网膜病变的病因:一种新模型。
Ophthalmic Surg. 1981 Feb;12(2):104-7.
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A Computational Model of Peripheral Photocoagulation for the Prevention of Progressive Diabetic Capillary Occlusion.一种用于预防糖尿病性毛细血管渐进性闭塞的周边光凝计算模型。
J Diabetes Res. 2016;2016:2508381. doi: 10.1155/2016/2508381. Epub 2016 Oct 25.
4
Retinal oximetry.视网膜血氧计。
Acta Ophthalmol. 2013 Mar;91 Thesis 2:1-47. doi: 10.1111/aos.12086.
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Influence of flickering light on the retinal vessels in diabetic patients.闪烁光对糖尿病患者视网膜血管的影响。
Diabetes Care. 2007 Dec;30(12):3048-52. doi: 10.2337/dc07-0927. Epub 2007 Aug 29.
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[Effect of pressure-induced ischemia on oxygen supply in the retinal capillary area. Results of a mathematical model].[压力诱导性缺血对视网膜毛细血管区域氧供应的影响。数学模型结果]
Klin Monbl Augenheilkd. 1991 Jun;199(1):30-5. doi: 10.1055/s-2008-1046042.
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[The role of the osmotic pressure of the blood in the pathogenesis of diabetic changes in the retina].
Vestn Oftalmol. 2000 Jan-Feb;116(2):32-4.
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Overview of studies on metabolic and vascular regulatory changes in early diabetic retinopathy.
Aust N Z J Ophthalmol. 1998 May;26(2):141-8. doi: 10.1111/j.1442-9071.1998.tb01530.x.
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[Microcirculation disturbances at the onset of diabetic retinopathy. New therapeutic procedures? (author's transl)].
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Retinal vessel oxygen saturation under flicker light stimulation in patients with nonproliferative diabetic retinopathy.非增殖性糖尿病视网膜病变患者在闪光光刺激下的视网膜血管氧饱和度。
Invest Ophthalmol Vis Sci. 2012 Jun 26;53(7):4063-8. doi: 10.1167/iovs.12-9659.

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