首页|玻璃体内注射康柏西普在糖尿病黄斑水肿患者水肿消退及视力提高中的临床疗效

玻璃体内注射康柏西普在糖尿病黄斑水肿患者水肿消退及视力提高中的临床疗效

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目的 分析玻璃体内注射康柏西普在糖尿病黄斑水肿患者水肿消退及视力提高中的临床疗效。方法 选取某院2021年6月至2023年10月收治的80例糖尿病黄斑水肿患者,随机数字表法分成两组,各40例,对照组仅采用眼底激光光凝术治疗,而研究组则采用眼底激光光凝术联合玻璃体内注射康柏西普治疗,比较两组的水肿消退及视力改善情况。结果 与对照组相比较,研究组的总有效率明显更高(P<0。05)。与对照组治疗后相比,研究组的黄斑中心厚度、黄斑区荧光面积、眼底出血面积均明显更小(P<0。05),抗血管内皮生长因子(VEGF)、血小板源性生长因子(PDGF)、肿瘤坏死因子-α及白细胞介素6水平均明显更低(P<0。05),而最佳矫正视力则明显更高(P<0。05)。不良反应方面,两组比较差异无统计学意义(P>0。05)。结论 糖尿病黄斑水肿患者采用玻璃体内注射康柏西普治疗,能显著提升其视力,促进水肿消退,而且能降低VEGF、PDGF及促炎细胞因子水平,值得推广。
Clinical Effect of Intravitreous Injection of Conbercept on Edema Regression and Visual Acuity Improvement in Patients with Diabetic Macular Edema
Objective To analyze the clinical effect of intravitreal injection of conbercept on edema regression and visual acuity improvement in patients with diabetic macular edema. Methods A total of 80 patients with diabetic macular edema were selected from a hospital from June 2021 to October 2023,into two groups by random number table method,40 cases in each group. The control group was treated with fundus laser photocoagulation alone,while the research group was treated with fundus laser photocoagulation combined with intravitreal injection of conbercept. The regression of edema and visual improvement of the two groups were compared. Results Compared with the control group,the total effective rate of the research group was significantly higher (P<0.05). Compared with the control group after treatment,the central macular thickness,fluorescence area of macular area and fundus bleeding area in the research group were significantly smaller (P<0.05). The levels of anti-vascular endothelial growth factor(VEGF),platelet-derived growth factor(PDGF),tumor necrosis factor α and interleukin-6 were significantly lower (P<0.05),while the best corrected visual acuity was significantly higher (P<0.05). There was no significant difference in adverse reactions between the two groups (P>0.05). Conclusion In patients with diabetic macular edema,intravitreal injection of conbercept can significantly improve their vision,promote the regression of edema,and reduce the levels of VEGF,PDGF and pro-inflammatory cytokines,which is worthy of promotion.

VitreousConberceptDiabetesMacular edemaVision

冯珂珂、孙奕、程材

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平顶山河舞总医院,河南平顶山 462500

上海中冶医院,上海 310000

玻璃体 康柏西普 糖尿病 黄斑水肿 视力

2024

药品评价
江西省药学会

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影响因子:0.672
ISSN:1672-2809
年,卷(期):2024.21(8)