The health management of patients with type 2 diabetes is one of the basic public health service projects of the country, and it is also the focus and difficulty of grassroots health work. 2024年1月，高邮菱塘回族乡卫生院成功建立基层糖尿病并发症筛查工作站，于3月16日正式启动。
In order to prepare for the construction of the workstation, our hospital has accelerated the construction process, held many seminars on the construction of the workstation, sent 1 specialist doctor and 1 public health physician to go out for training, and has obtained the training certificate.
Jin Hubing, deputy chief physician and general practitioner, bachelor degree, has been practicing medicine for more than 20 years, has studied in Subei Hospital and Yangzhou Hospital of Traditional Chinese Medicine, proficient in standardized diagnosis and treatment of common and frequent diseases in internal medicine, and has rich clinical experience in early prevention, early detection and timely intervention and treatment of hypertension and type 2 diabetes. He is good at the diagnosis and treatment of cardiovascular and cerebrovascular diseases, and has a high level of treatment for acute and chronic heart failure and arrhythmia.
Cao Yemin, practicing assistant physician and public health doctor, college degree, engaged in public health work, has studied diabetes complications screening project in Subei Hospital, and is proficient in peripheral neuropathy screening, ankle-brachial index (ABI) examination, non-dilated fundus photography and other operating procedures.
Relying on 5 village clinics, our hospital integrates health education resources and organizes health lectures on diabetes complication screening, which has been welcomed and praised by sugar friends.
At present, the primary diabetes complication screening workstation of our hospital has carried out diabetic peripheral neuropathy screening, ankle-brachial index (ABI) examination, and fundus photography without dilation.
1. Diabetic peripheral neuropathy screening includes the following aspects: (1) examination of the appearance of the foot; (2) Vibration sensory threshold (VPT) determination; (3) 10g nylon filament pressure sense measurement, (4) 40g pressure pin or pin pain measurement; (5) Temperature perception measurement. Check for hypoesthesia, deep sensory disturbances, and peripheral nerve lesions.
2. Ankle-brachial index (ABI) is to obtain the ratio between ankle arterial pressure and brachial artery pressure by measuring the systolic pressure of the posterior tibial artery or anterior tibial artery and brachial artery at the ankle. This is to check the severity of the artery blockage in the limb.
3. Fundus photography without dilation can provide a panoramic vision, including the normal and abnormal manifestations of retinal, choroidal and optic nerve disc and other structures. Fundus photography can be used to evaluate the presence of bleeding and degeneration of the fundus nerves.
In the next step, our hospital will improve the content of project inspection, enrich the service connotation, and promote science popularization; Specialists and nurses are dispatched to go out for further study, improve the level of health management, give full play to the advantages of health management with the integration of medical treatment and prevention, and do a good job in the early intervention of complications, so as to escort the healthy life of diabetic patients.