首页|玻璃体腔内注射抗VEGF对糖尿病性黄斑水肿患者脉络膜厚度的影响

玻璃体腔内注射抗VEGF对糖尿病性黄斑水肿患者脉络膜厚度的影响

Effect of Intravitreal Injection of Anti-vEGF on Choroidal Thickness in Patients with Diabetic Macular Edema

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目的 分析糖尿病性黄斑水肿(diabetic macular edema,DME)患者实施玻璃体腔内注射抗血管内皮生长因子(vascular endothelial growth factor,VEGF)对脉络膜厚度的影响.方法 选择2022年8月—2023年8月泉州市第一医院收治的82例DME患者为研究对象,按治疗方法的不同分为两组,各41例.对照组采用激光光凝治疗,观察组在对照组基础上加以玻璃体腔内注射抗VEGF.对比两组脉络膜厚度(subfoveal choroidal thickness,SFCT)、最佳矫正视力(best corrected visual acuity,BCVA)、黄斑区中心厚度(central foveal thickness,CFT)及不良反应发生情况.结果 治疗后,观察组SFCT、CFT均较对照组更薄,观察组BCVA较对照组更好,差异有统计学意义(P均<0.05).两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论 DME患者实施玻璃体腔内注射抗VEGF的疗效可观,可改善SFCT、CFT等指标,并加快视力水平的优化,有效预防不良反应的发生.
Objective To analyze the effect of intravitreal injection of anti-vascular endothelial growth factor(VEGF)on choroidal thickness in patients with diabetic macular edema(DME).Methods A total of 82 DME patients admitted to Quanzhou First Hospital from August 2022 to August 2023 were selected as the study objects and divided into two groups according to the different treatment methods,with 41 cases in each group.The control group was treated with laser photocoagulation,and the observation group was treated with intravitreal injection of anti-VEGF on the basis of the control group.The subfoveal choroidal thickness(SFCT),best corrected visual acuity(BCVA),central foveal thick-ness(CFT)and adverse reactions were compared between the two groups.Results After treatment,SFCT and CFT in the observation group were thinner than that in the control group,and BCVA in the observation group was better than those in the control group,and the differences were statistically significant(all P<0.05).There was no significant dif-ference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Intravitreous injec-tion of anti-VEGF in DME patients has a considerable effect,which can improve SFCT,CFT and other indicators,ac-celerate the optimization of visual acuity level,and effectively prevent the occurrence of adverse reactions.

Intravitreous injectionAnti-vascular endothelial growth factorDiabetic macular edemaSubfoveal cho-roidal thickness

李小燕、李秀兰、王情、黄宇龙

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泉州市第一医院眼科,福建 泉州 362000

玻璃体腔内注射 抗血管内皮生长因子 糖尿病性黄斑水肿 脉络膜厚度

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(14)
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