首页|康柏西普球内注射治疗脉络膜新生血管的临床疗效观察

康柏西普球内注射治疗脉络膜新生血管的临床疗效观察

Observation of clinical effects of intravitreal injection of conbercept on choroidal neovascularization

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目的 探讨康柏西普球内注射治疗脉络膜新生血管(CNv)的疗效.方法 选取脉络膜新生血管患者109例,按患者入院时间段分为两组,雷珠单抗组(56例)玻璃体腔内注射雷珠单抗,康柏西普组(53)玻璃体腔内注射康柏西普,比较两组治疗前后最佳矫正视力(BCVA)、黄斑中心视网膜厚度(CRT)、眼压变化及不良反应情况,评价康柏西普的疗效.结果 治疗1个月后,两组间患者视力提高的比例没有统计学差异(P>0.05);治疗2个月后,两组视力提高的比例均明显高于治疗1个月后的比例(P<0.05),但两组间比较,差异无统计学意义(P>0.05).与治疗前相比,治疗1、2个月后,两组平均对数均视力明显提高,CRT值明显降低(P<0.05),但两组间比较,差异无统计学意义(P>0.05).治疗前后,两组眼压值均无明显变化(P>0.05).随访6个月期间,两组不良反应发生率比较,无统计学差异(P>0.05).术后1个月复查,两组复发率比较,无统计学差异(P>0.05);康柏西普治疗费用显著低于雷珠单抗.结论 康柏西普对CNV的短期疗效和不良反应与雷珠单抗相当,但价格较低,值得临床推广使用.
Objective To explore the clinical effects of intravitreal injection of conbercept in the treatment of choroidal neovascularization (CNV).Methods A total of 109 patients with CNV were selected and randomly divided into two groups,Ranibizumab group (n =56),in which the patients were treated with intravitreal injection of ranibizumab,and conbercept group (n =53),in which the patients were treated with intravitreal injection of Conbercept.The best corrected visual acuity (BCVA),central retinal thickness (CRT),and intraocular pressure (IOP) changes and adverse reactions between the two groups before and after the treatment were compared and the curative effects of conbercept were evaluated.Results One month after the treatment,there was no significant difference in the proportion of improvement of the patients' visual acuity between the two groups (P > 0.05);two months later,the proportions of improvement of the patients' visual acuity in the two groups were significantly higher than those one month after the treatment (P < 0.05),but the comparison between the two groups showed no statistically significant difference (P > 0.05).Compared with the situation before the treatment,the average logarithmic visual acuity in the two groups one month and two months later was significantly improved and the CRT values were significantly lower(P < 0.05),but there was no significant difference between the two groups (P > 0.05).Before and after the treatment,there was no significant change in IOP in the two groups(P > 0.05).During the follow-up visit of six months,there was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05).According to the re-examination one month after the surgery,there was no significant difference in the rate of recurrence between the two groups (P > 0.05);the cost of conbercept for the treatment was significantly lower than that of ranibizumab.Conclusion The short-term curative effects and adverse effects of conbercept on CNV are equivalent to those of ranibizumab,but the price is lower,so it is worthy of clinical promotion.

conberceptranibizumabchoroidal neovascularizationintravitreal injectioncurative effects

刘萱、王妮、仲萌睿、程橙

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712000陕西咸阳,咸阳市第一人民医院眼科

康柏西普 雷珠单抗 脉络膜新生血管 玻璃体腔注射 疗效

2017

西南国防医药
成都军区医学科学技术委员会

西南国防医药

CSTPCD
影响因子:0.672
ISSN:1004-0188
年,卷(期):2017.27(1)
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