中国全科医学

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澳大利亚全科医生学会《全科医学的预防活动指南》解读和讨论:视力问题

李天姿1,姜岳2*   

  1. 1.450000 河南省郑州市,郑州大学第二附属医院全科医学科;2.100016 北京市,清华大学第一附属医院全科医学科
  • 收稿日期:2025-12-16 接受日期:2026-01-09
  • 通讯作者: 姜岳,主任医师;E-mail:redtealook9@sina.com
  • 基金资助:
    清华大学第一附属医院院内联合基金(2025-LHYJ-04)

Interpretation and Discussion of the RACGP Guidelines for Preventive Activities in General Practice: Vision Problems

LI Tianzi1, JIANG Yue2*   

  1. 1.Department of General Practice of the Second Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China;2.Department of General Practice of the First Affiliated Hospital of Tsinghua University, Beijing 100016, China
  • Received:2025-12-16 Accepted:2026-01-09
  • Contact: JIANG Yue, Chief physician; E-mail: redtealook9@sina.com

摘要: 视力问题贯穿于整个生命周期,也是全生命周期人群的日益凸显的问题,如何进行长期管理是全科医生需要思考的问题。本文聚焦澳大利亚全科医生学会(RACGP)《全科医学的预防活动指南》第十版中的视力问题,重点着眼于3~5岁的儿童、青光眼的风险人群筛查,以及老年人群的糖尿病眼病的病例发现等方面,深入进行解读和分析。旨在进一步探讨和剖析基层全科医生在各年龄阶段人群视力管理中的核心职责和重要意义,提出科学、具体的筛查和预防行动指南,并对基层社区的工作完善提出了切实可行的策略和建议。

关键词: 眼科学, 澳大利亚全科医生学会, 红皮书, 视力问题, 全科医生, 近视, 青光眼, 糖尿病视网膜病变

Abstract: Vision problems persist throughout the entire life cycle and have become an increasingly prominent issue among populations across all life stages. How to manage them long-term is a critical question for general practitioners (GPs). This article focuses on vision-related issues outlined in Royal Australian College of General Practitioners (RACGP) Guidelines for Preventive Activities in General Practice the 10th Edition. It provides in-depth interpretation and analysis, particularly regarding children aged 3-5 years, screening for glaucoma risk populations, and the detection of diabetic eye disease in elderly populations. The aim is to further explore and analyze the core responsibilities and significance of vision management by primary care GPs across different age groups, propose scientific and specific screening and preventive action guidelines, and offer practical strategies and recommendations for improving community-based work.

Key words: Ophthalmology, Royal Australian College of General Practitioners, Red book, Vision problems, General practitioners, Myopia, Glaucoma, Diabetic retinopathy

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