Ophthalmologica:视网膜中心静脉阻塞导致黄斑水肿的抗血管内皮生长因子治疗方案比较研究!

2017-10-06 cuiguizhong MedSci原创

日本三木香川大学医学部眼科系的Osaka R近日在Ophthalmologica发表了他们的最近一项工作,他们对视网膜中央静脉闭塞(CRVO)而出现黄斑水肿(ME)患者中进行对比研究,比较了在玻璃体内注射抗血管内皮生长因子(VEGF)药物不同注射方案在12个月后的临床疗效。

日本三木香川大学医学部眼科系的Osaka R近日在Ophthalmologica发表了他们的最近一项工作,他们对视网膜中央静脉闭塞(CRVO)而出现黄斑水肿(ME)患者中进行对比研究,比较了在玻璃体内注射抗血管内皮生长因子(VEGF)药物不同注射方案在12个月后的临床疗效。

一种是初次给药只注射1次,随后是PRN给药;另一种方案是初次给药在一个月内注射3次,随后是PRN给药。其中有29例眼睛接受初次注射1次的方案(1 + PRN组),20例眼睛接受初次给药注射3次的方案(3 + PRN组)。

结果他们发现,在12月后,1 + PRN和3 + PRN组的logMAR视力变化分别为-0.172±0.372和-0.142±0.317,两组之间没有显着性差异(p = 0.769)。 但在3 + PRN组(5.9±2.1)中施用的抗VEGF注射的数量显着大于1 + PRN组(4.1±2.8; p = 0.022)。

因此,他们认为,当视网膜中央静脉闭塞(CRVO)而出现黄斑水肿(ME)时,1 + PRN方案与3 + PRN方案可以达到相似的治疗效果,并且注射次数显着减少。这项研究帮助眼科临床医生完善了由视网膜中央静脉闭塞(CRVO)而出现黄斑水肿(ME)的治疗。

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time=2017-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525103, encodeId=2bca152510324, content=<a href='/topic/show?id=65e91031337f' target=_blank style='color:#2F92EE;'>#黄斑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103133, encryptionId=65e91031337f, topicName=黄斑)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=638b11619344, createdName=muzishouyi, createdTime=Sun Oct 08 05:16:00 CST 2017, time=2017-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1597127, encodeId=22b4159e12796, content=<a href='/topic/show?id=23be895453d' target=_blank style='color:#2F92EE;'>#血管内皮生长因子#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89545, encryptionId=23be895453d, topicName=血管内皮生长因子)], attachment=null, 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    2018-04-01 fusion
  5. 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  6. 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time=2017-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525103, encodeId=2bca152510324, content=<a href='/topic/show?id=65e91031337f' target=_blank style='color:#2F92EE;'>#黄斑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103133, encryptionId=65e91031337f, topicName=黄斑)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=638b11619344, createdName=muzishouyi, createdTime=Sun Oct 08 05:16:00 CST 2017, time=2017-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1597127, encodeId=22b4159e12796, content=<a href='/topic/show?id=23be895453d' target=_blank style='color:#2F92EE;'>#血管内皮生长因子#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89545, encryptionId=23be895453d, topicName=血管内皮生长因子)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9f2a18492798, createdName=qilu_qi, createdTime=Sun Oct 08 05:16:00 CST 2017, time=2017-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1541288, encodeId=af6315412882f, content=<a href='/topic/show?id=5c961e37307' target=_blank style='color:#2F92EE;'>#THA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17373, encryptionId=5c961e37307, topicName=THA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=615b13300589, createdName=1249842em13(暂无昵称), createdTime=Sun Oct 08 05:16:00 CST 2017, time=2017-10-08, status=1, ipAttribution=)]
    2017-12-30 tomyang96
  7. 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    2017-10-08 1e17414fm02(暂无匿称)

    学习

    0

  8. 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    2017-10-08 muzishouyi
  9. 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  10. 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