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激光联合抗VEGF药物治疗糖尿病视网膜病变的疗效

Therapeutic Effect of Laser Combined with Anti-VEGF Drugs on Diabetic Retinopathy

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目的 探究激光联合抗血管内皮生长因子(vascular endothelial growth factor,VEGF)药物治疗糖尿病视网膜病变(diabetes retinopathy,DR)的效果.方法 选取2022年1月—2023年12月永康康利眼科医院收治的186例DR患者为研究对象,采用随机数表法分为对照组和观察组,各93例.对照组行激光治疗,观察组行激光联合药物治疗.对比两组临床疗效、最佳矫正视力、黄斑厚度、一氧化氮合酶(nitric oxide synthase,NOS)、白细胞介素-6(interleukin-6,IL-6)、VEGF、丙二醛(malondialdehyde,MDA)、晚期蛋白氧化产物(advanced pro-tein oxidation products,AOPP)、总抗氧化能力(total antioxidant capacity,TAC)与并发症发生率.结果 观察组临床疗效优于对照组,差异有统计学意义(P<0.05).治疗后,两组最佳矫正视力、NOS、TAC升高,黄斑厚度、IL-6、VEGF、MDA、AOPP降低,且观察组均优于对照组,差异有统计学意义(P均<0.05).两组并发症发生率比较,差异无统计学意义(P>0.05).结论 激光联合抗VEGF治疗DR疾病,可提高视力,降低黄斑厚度,调节NOS、IL-6、VEGF水平,减轻氧化应激.
Objective To explore the efficacy of laser combined with anti-vascular endothelial growth factor(VEGF)drugs in the treatment of diabetic retinopathy(DR).Methods A total of 186 patients with DR Treated in Yongkang Kangli Eye Hospital from January 2022 to December 2023 were selected as the study objects and divided into control group and observation group by random number table method,with 93 cases in each group.The control group received laser treatment and the observation group received laser combined drug treatment.The clinical efficacy,best corrected visual acuity,macular thickness,nitric oxide synthase(NOS),interleukin-6(IL-6),VEGF,malondialdehyde(MDA),late protein oxidation products(AOPP),total antioxidant capacity(TAC)and complications rate were compared be-tween the two groups.Results The clinical efficacy of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the optimal corrected visual acuity,NOS and TAC were increased,and the macular thickness,IL-6,VEGF,MDA and AOPP were decreased in both groups,and the above indexes in the observation group were better than those in the control group,and the differences were statis-tically significant(all P<0.05).There was no significant difference in complications rate between the two groups(P>0.05).Conclusion In the treatment of DR Disease,laser combined with anti-VEGF can improve visual acuity,reduce macular thickness,regulate the levels of NOS,IL-6 and VEGF,and alleviate oxidative stress.

LaserAnti-vascular endothelial growth factor drugsDiabetes retinopathyCorrect vision

潘瑞、王晓鹏

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永康康利眼科医院眼科,浙江 永康 321300

激光 抗血管内皮生长因子药物 糖尿病视网膜病变 矫正视力

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(9)
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