conbercept与雷尼单抗治疗湿性黄斑变性的疗效比较

Xuan Zhang, Ping Liu, Yanli Li
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摘要

目的比较雷尼单抗治疗湿性老年性黄斑变性(AMD)的疗效。方法回顾性分析我院2017年2月至2018年8月收治的40例湿性AMD患者40只眼的临床资料。A组20例20眼接受conberept治疗,B组20例20眼接受雷尼单抗治疗。所有患者均接受玻璃体注射,每月1次,连续3次。随访时间为3个月。结果玻璃体内注射后1周、1、3个月视力优于注射前(P < 0.05)。注射后不同时间两组间差异无统计学意义(P=0.839, 0.402, 0.849)。两组注射后黄斑中央厚度均较注射前降低(P<0.05),但两组间差异无统计学意义(P=0.885、0.476、0.634)。两组注射后脉络膜厚度均降低(P<0.05),但两组间差异无统计学意义(P=0.280、0.831、0.093)。结论conberept或雷尼单抗玻璃体内注射治疗湿性老年性黄斑变性可提高视力,改善黄斑结构,减少脉络膜厚度。两种药物无显著差异。关键词:变性,黄斑,年龄相关性,湿性;Conbercept,雷尼单抗,玻璃体内注射;功效、临床
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Comparison of the efficacy between conbercept and ranibizumab in the treatment of wet macular degeneration
Objective To compare the efficacy between intravitreal injection conbercept and ranibizumab in the treatment of wet age-related macular degeneration(AMD). Methods The clinical data of 40 eyes of 40 patients with wet AMD from Feb. 2017 to Aug. 2018 in this hospital were analyzed retrospectively. Group A, 20 eyes of 20 cases, received conbercept and group B, 20 eyes of 20 cases, received ranibizumab. All patients underwent intravitreal injection once a month for three consecutive times.The follow-up time was 3 months. Results The visual acuity at 1 week, 1 and 3 months after intravitreal injection was better than that before injection (P 0.05). There was no significant difference between the two groups at different time after injection (P=0.839, 0.402, 0.849). Central macular thickness were decreased in both groups after injection compared with that before injection (P<0.05), but the difference between the two groups was not statistically significant (P=0.885, 0.476, 0.634). Choroidal thickness of the two groups decreased after injection (P<0.05), but the difference between the two groups was not statistically significant (P=0.280, 0.831, 0.093). Conclusion Intravitreal injection of conbercept or ranibizumab can improve visual acuity, ameliorate macular structure, and decrease choroidal thickness for the treatment of wet age-related macular degeneration. There is no significant difference between the two drugs. Key words: Degeneration, macular, age-related, wet; Conbercept, Ranibizumab, intravitreal injection; Efficacy, clinical
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