首页|577 nm激光光凝联合雷珠单抗促进糖尿病视网膜病变伴黄斑水肿患者视力恢复的效果观察

577 nm激光光凝联合雷珠单抗促进糖尿病视网膜病变伴黄斑水肿患者视力恢复的效果观察

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目的 分析577 nm激光光凝联合雷珠单抗对糖尿病视网膜病变(DR)伴黄斑水肿(ME)患者的影响.方法 选取2021年5月—2023年7月该院收治的110例DR伴ME患者为研究对象,按随机数字表法将其分为对照组与观察组,各55例.对照组行577 nm激光光凝,观察组在对照组基础上加用雷珠单抗.对比两组治疗效果.结果 观察组治疗总有效率为94.55%,高于对照组的81.82%,眼底出血吸收时间为(2.59±0.47)周,黄斑水肿改善时间为(4.25±0.69)周,渗出吸收时间为(10.54±1.25),均短于对照组的(3.15±0.63)周、(5.58±0.71)周、(12.21±1.77)周,并发症发生率为5.45%,低于对照组的20.00%,视力改善情况优于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组黄斑区视网膜厚度为(240.51±19.70)μm,黄斑区中心凹厚度为(243.45±20.36)μm,均薄于对照组的(282.64±22.29)μm、(350.31±26.49)μm,组间差异有统计学意义(P<0.05).结论 577 nm激光光凝联合雷珠单抗能够缓解DR伴ME患者症状,提高视力,降低黄斑厚度,且并发症较少.
Effect of 577 nm Laser Photocoagulation Combined with Leizumab on Visual Acuity Recovery in Diabetic Retinopathy with Macular Edema
Objective To analyze the effect of 577 nm laser photocoagulation combined with leizumab on patients with diabetic retinopathy (DR) and macular edema (ME).Methods A total of 110 patients with DR and ME admitted to the hospital from May 2021 to July 2023 were selected as the research objects.According to the random number table method, they were divided into a control group and an observation group, with 55 cases in each group.The control group was treated with 577 nm laser photocoagulation, and the observation group was treated with leizumab on this basis.The therapeutic effects of the two groups were compared.Results The total effective rate in the observation group was 94.55%, which was higher than 81.82%in the control group, the absorption time of fundus hemorrhage was (2.59±0.47)weeks, the improvement time of macular edema was (4.25±0.69)weeks, and the absorption time of exudation was (10.54±1.25)weeks, which were shorter than (3.15±0.63)weeks, (5.58±0.71)weeks and (12.21±1.77)weeks in the control group, the incidence of complications was 5.45%in the observation group, which was lower than 20.00%in the control group, the improvement of visual acuity was better than that in the control group, and the differences between the two groups were statistically significant (P<0.05).After treatment, the macular retinal thickness of the observation group was (240.51±19.70)μm, and the central macular thickness was (243.45± 20.36)μm, which were thinner than (282.64±22.29)μm, (350.31±26.49)μm of the control group, the differences between the two groups were statistically significant (P<0.05).Conclusion 577 nm laser photocoagulation combined with leizumab can alleviate symptoms of patients with ME and DR, improve eyesight, macular thickness reduction, and less complications.

Diabetic retinopathyMacular edemaComplications

练海东、万慧娟、章磊、袁婷、赵新荣

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石河子大学第一附属医院眼科,新疆石河子 832000

糖尿病视网膜病变 黄斑水肿 并发症

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(15)
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