6+PRN方案玻璃体腔注射康柏西普治疗糖尿病性黄斑水肿的效果分析
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1.浙江省杭州市萧山区中医院;2.浙江省杭州市萧山区第一人民医院

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Analysis of the efficacy of intravitreal injection of Conbercept in the treatment of diabetes macular edema with 6+PRN regimen
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    摘要:

    目的:分析6+PRN方案玻璃体腔注射康柏西普治疗糖尿病性黄斑水肿(DME)的效果。 方法:回顾性分析自2019年1月至2022年1月于本院接纳康柏西普治疗的DME患者144例(214眼)的临床资料。随机分为2组:3+PRN组68例102眼,采用3+PRN玻璃体腔注射康柏西普;6+PRN组76例112眼,采用6+PRN玻璃体腔注射康柏西普。随访12mo,观察两组患者视力、CMT、注药次数和并发症的情况。 结果:完成注药后12个月末,6+PRN组患者的视力显著优于3+PRN组,比较差异有统计学意义(t=3.25,P=0.016);而6+PRN组患者CMT明显低于3+PRN组,比较差异也有统计学意义(t=4.36,P=0.009);但两组患者平均注药次数相当,差异无统计学意义(t=3.55,P=0.126)。 结论:康柏西普6+PRN方案更好地减轻黄斑部水肿并有效提升视力,却未增加患者的医疗负担及其风险。

    Abstract:

    ?AIM: To analyze the efficacy of intravitreal injection of Conbercept in the treatment of diabetes macular edema with 6+PRN regimen. ?METHODS: Retrospective analysis of clinical data of 144 DME patients (214 eyes) admitted to the hospital for concomitant therapy from January 2019 to January 2022. Randomly divided into two groups: 68 cases (102 eyes) in the 3+PRN group were treated with intravitreal injection of Conbercept using 3+PRN; 76 cases (112 eyes) in the 6+PRN group were treated with intravitreal injection of Conbercept using 6+PRN. Follow up for 12 months and observe the visual acuity, CMT, number of injections, and complications of the two groups of patients. ?RESULTS: At the end of 12 months after completing the medication injection, the visual acuity of patients in the 6+PRN group was significantly better than that in the 3+PRN group, with a statistically significant difference (t=3.25, P=0.016); The CMT of patients in the 6+PRN group was significantly lower than that in the 3+PRN group, and the difference was statistically significant (t=4.36, P=0.009); However, the average number of drug injections between the two groups of patients was comparable, and the difference was not statistically significant (t=3.55, P=0.126). ?CONCLUSIONS: The Conbercept 6+PRN regimen better reduces macular edema and improves vision, but does not increase the medical burden and risk for patients.

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  • 收稿日期:2023-12-05
  • 最后修改日期:2024-03-16
  • 录用日期:2024-04-18
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