首页|雷珠单抗联合激光光凝术在糖尿病视网膜病变患者中应用效果观察

雷珠单抗联合激光光凝术在糖尿病视网膜病变患者中应用效果观察

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目的 分析雷珠单抗联合激光光凝术对糖尿病视网膜病变患者的影响.方法 方便选取2020年9月—2023年9月日照市五莲县人民医院眼科收治的84例糖尿病视网膜病变患者作为研究对象,根据不同治疗方案分为对照组和观察组,各42例.对照组行激光光凝术,观察组在激光治疗的同时联合雷珠单抗.比较两组患者临床疗效、视力改善情况、视网膜血流动力学(平均血流速度、搏动指数、阻力指数)和不良反应发生情况.结果 观察组治疗总有效率为95.24%(40/42),高于对照组的80.95%(34/42),差异有统计学意义(χ2=4.087,P<0.05).治疗后,观察组的最佳矫正视力、平均血流速度、搏动指数、阻力指数均优于对照组,差异有统计学意义(P均<0.05).两组不良反应总发生率对比,差异无统计学意义(P>0.05).结论 雷珠单抗结合激光光凝术可提高糖尿病视网膜病变患者视力,改善视网膜血流动力学,且无严重不良反应.
Effect of Ranibizumab Combined with Laser Photocoagulation in the Treatment of Diabetes Retinopathy and Its Influence on Retinal Hemody-namics
Objective To analyze the effect of ranibizumab combined with laser photocoagulation on patients with dia-betic retinopathy.Methods A total of 84 patients with diabetic retinopathy admitted to the Department of Ophthalmol-ogy,Wulian County People's Hospital of Rizhao City from September 2020 to September 2023 were conveniently se-lected as the research objects.According to different treatment plans,they were divided into control group and obser-vation group,with 42 cases in each group.The control group was treated with laser photocoagulation,and the observa-tion group was treated with laser photocoagulation combined with ranibizumab.The clinical therapeutic effect,visual acuity improvement,retinal hemodynamics(mean velocity,pulse index,resistance index)and adverse reaction were compared between patients in two groups.Results The total effective rate of treatment in the observation group was 95.24%(40/42),which was higher than 80.95%(34/42)in the control group,and the difference was statistically sig-nificant(χ2=4.087,P<0.05).After treatment,the best corrected visual acuity,mean velocity,pulse index and resis-tance index of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion The combination of ranibizumab and laser photocoagulation can improve the visual acu-ity and retinal hemodynamics of Diabetes retinopathy patients without serious complications.

Diabetes retinopathyRanibizumabAdverse reaction

郑惠娟

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日照市五莲县人民医院眼科,山东 日照 276800

糖尿病视网膜病变 雷珠单抗 不良反应

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(24)