|
|
Effect of Conbercept combined with laser photocoagulation in the treatment of diabetic macular edema |
WANG Zichuan ZHANG Xiaomei LI Caibao |
Department of Ophthalmology, Jingdezhen Second People′s Hospital, Jiangxi Province, Jingdezhen 333000, China |
|
|
Abstract Objective To explore the effect of Conbercept combined with laser photocoagulation in the treatment of diabetic macular edema. Methods A total of 120 patients with diabetic macular edema who were admitted to Jingdezhen Second People′s Hospital from June 2020 to May 2021 were selected as the research subjects, and they were divided into the control group (60 patients, 60 eyes) and the observation group (60 patients, 60 eyes) by the random number table method. The control group was treated with laser photocoagulation, and the observation group was treated with Conbercept combined with laser photocoagulation. The blood flow density in macular area was compared between the two groups before and after 4 months of treatment. Macular center thickness and best corrected visual acuity were compared between the two groups before treatment and 1, 2 and 4 months after treatment. Results After 4 months of treatment, the blood flow density in the superficial and deep macular areas of the two groups were higher than those before treatment, and the blood flow density in the superficial and deep macular areas in the observation group after 4 months of treatment were higher than those in the control group, the differences were statistically significant (P<0.05). The best corrected visual acuity levels of the two groups at 1, 2 and 4 months after treatment were higher than those before treatment, the best corrected visual acuity levels of the two groups after 2 and 4 months of treatment were higher than those after 1 month of treatment, the best corrected visual acuity levels after 4 months of treatment of the two groups were lower than those after 2 months of treatment, the best corrected visual acuity levels of observation group after 1, 2 and 4 months of treatment were higher than those in the control group, and the differences were statistically significant (P<0.05). The thickness of macular center levels in the two groups after 1, 2 and 4 months of treatment were lower than those befo re treatment, the thickness of macular center levels in the two groups after 2 and 4 months of treatment were lower than those after 1 month of treatment, the thickness of macular center levels in the two groups after 4 months of treatment were lower than those after 2 months of treatment, the thickness of macular center levels of observation group after 1, 2 and 4 months of treatment were lower than those in the control group, and the differences were statistically significant (P<0.05). Conclusion Combined with laser photocoagulation, Conbercept can effectively relieve the clinical symptoms of diabetic macular edema, inhibit the increase of macular center thickness and improve visual function, and has a significant therapeutic effect.
|
|
|
|
|
[1] |
Tessier M,Meillon C,Creuzot-Garcher C,et al.Efficacy and follow-up of anti-VEGF injections in diabetic macular edema in real-life practice at the Dijon university medical centre through the Save Sight Registries[J].J Fr Ophtalmol,2020,43(7):618-625.
|
[2] |
汪彬,屈晓勇,欧阳君.比较康柏西普玻璃体腔内注射联合激光以及曲安奈德玻璃体腔内注射联合激光治疗糖尿病性黄斑水肿的效果[J].当代医学,2018,24(11):66-68.
|
[3] |
朱蓓菁,姚月蓉,朱炜敏,等.培土消水方加减协同玻璃体内注射康柏西普及眼内光凝治疗糖尿病性黄斑水肿的疗效观察[J].中国医药导刊,2017,19(4):372-374.
|
[4] |
刘三梅,李杰,董文韬,等.玻璃体腔内注射康柏西普联合视网膜光凝治疗增生性糖尿病视网膜病变的中长期临床观察[J].成都中医药大学学报,2017,40(1):65-67.
|
[5] |
中华医学会眼科学会眼底病学组.我国糖尿病视网膜病变临床诊疗指南(2014年)[J].中华眼科杂志,2014,50(11):851-865.
|
[6] |
宋志刚,魏少华.577 nm 激光光凝联合玻璃体内注射康柏西普治疗糖尿病性黄斑水肿的效果观察[J].眼科新进展,2019,39(4):373-375.
|
[7] |
李彬彬,胡莉群,谭美华,等.康柏西普联合阿托伐他汀治疗高血脂合并糖尿病性黄斑水肿的疗效观察[J].实用临床医药杂志,2020,24(22):46-48.
|
[8] |
梁堂钰,曾惠红,江文良,等.不同抗VEGF 注射液联合视网膜光凝术治疗糖尿病性黄斑水肿的疗效比较[J].解放军预防医学杂志,2019,37(4):162-163.
|
[9] |
高晶,陈威,刘诗亮,等.玻璃体腔注射康柏西普治疗糖尿病性和视网膜静脉阻塞性黄斑水肿的疗效对比观察[J].中国医院药学杂志,2018,38(20):2154-2157.
|
[10] |
蒋晨,丁琳,万新娟.玻璃体腔注射康柏西普治疗糖尿病黄斑水肿的疗效[J].国际眼科杂志,2018,18(3):559-562.
|
[11] |
赵儒意,谭薇.康柏西普联合577 nm 激光治疗糖尿病性黄斑水肿的疗效观察[J].安徽医药,2019,23(11):2275-2279.
|
[12] |
李文清,宋艳萍,丁琴.康柏西普联合577 nm 阈值下微脉冲激光光凝治疗糖尿病黄斑水肿的疗效观察[J].中华眼底病杂志,2019,35(2):129-134.
|
[13] |
马若璇,冉振龙,张月玲,等.玻璃体内注射康柏西普对糖尿病性黄斑水肿患者黄斑区视网膜血管密度和中心凹无血管区面积的影响[J].眼科新进展,2020,40(4):70-73.
|
[14] |
李琰,邵玲,杜敏,等.雷珠单抗联合激光光凝治疗糖尿病性黄斑水肿的疗效[J].国际眼科杂志,2018,18(8):105-107.
|
[15] |
牛红霞,吉昂.玻璃体腔注射康柏西普联合视网膜光凝治疗糖尿病性黄斑水肿的疗效观察[J].解放军医学杂志,2018,43(3):268-270.
|
[16] |
杨喆,相义会,付颖.康柏西普玻璃体内注射联合眼底激光光凝治疗对糖尿病性黄斑水肿患者视力及黄斑中心厚度的影响[J].西北国防医学杂志,2017,38(1):19-22.
|
[17] |
陆骏,秦瑜,肖文玮.康柏西普联合激光治疗糖尿病性黄斑水肿疗效观察[J].贵州医药,2021,45(7):1099-1100.
|
[18] |
李秋霞,段国平,曾琦,等.玻璃体腔注射康柏西普联合激光光凝治疗糖尿病性黄斑水肿的效果分析[J].国际眼科杂志,2018,18(6):144-147.
|
[19] |
郑通美.眼底激光联合康柏西普治疗糖尿病视网膜病变效果分析[J].中国医药科学,2021,11(6):215-217,228.
|
[20] |
沈华墨,朱丹风,高志勇.玻璃体注射雷珠单抗和康柏西普治疗黄斑水肿的效果比较[J].中国当代医药,2021,28(24):174-176.
|
|
|
|