抗VEGF药物治疗渗出型老年性黄斑变性疗效及其对眼部血流动力学、OCT参数的影响
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山西省卫生健康委科研计划课题(2021010);


Efficacy of anti-VEGF drugs on exudative age-related macular degenera-tion and influence on ocular hemodynamics and OCT parameters
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    摘要:

    目的:探讨抗血管内皮生长因子(VEGF)药物在渗出型老年性黄斑变性中的应用效果。方法:回顾性分析110例单眼渗出型老年性黄斑变性患者的临床资料,根据使用药物的不同分为康柏西普组(经玻璃体注射康柏西普,n=57)和雷珠单抗组(经玻璃体注射雷珠单抗,n=53)。对比两组患者疗效、眼部血流动力学、OCT参数、并发症。结果:康柏西普组患者治疗总有效率为98.25%,高于雷珠单抗组的88.68%(P<0.05);康柏西普组患者治疗后视网膜中央动脉及眼动脉的PSV、EDV及脉络膜毛细血管层血流密度均高于雷珠单抗组(P<0.05);康柏西普组患者治疗后的黄斑中心凹视网膜厚度低于雷珠单抗组(P<0.05);两组患者并发症总发生率比较,差异无统计学意义(P>0.05)。结论:抗VEGF药物康柏西普和雷珠单抗均能够有效治疗渗出型老年性黄斑变性,其中康柏西普疗效更佳,且其能改善患者眼部血流动力学、黄斑中心凹视网膜厚度及脉络膜毛细血管层血流密度,安全性较高。

    Abstract:

    Objective:To investigate the application effect of anti-vascular endothelial growth factor(VEGF)drugs in the treatment of exudative age-related macular degeneration.Methods:The clinical data of 110 patients with monocular exudative age-related macular degeneration were retrospectively analyzed.According to different medications,they were divided into con-bercept group(n=57,intravitreal injection of conbercept)and ranibizumab group(n=53,intravitreal injection of ranibizum-ab).The efficacy,ocular hemodynamics,OCT parameters and complications were compared between the two groups.Results:The total effective rate of treatment was 98.25%in conbercept group,which was higher than 88.68%in ranibizumab group(P<0.05).Compared with ranibizumab group,the PSV and EDV of central retinal artery and ocular artery and blood flow density of choroidal capillary layer in conbercept group were higher after treatment(P<0.05).The central macular thickness was thinner in conbercept group than that in ranibizumab group after treatment(P<0.05).There was no statistical difference in the total incidence rate of complications between groups(P>0.05).Conclusion:Anti-VEGF drugs can effectively treat exu-dative age-related macular degeneration.Conbercept has better efficacy,and it can better improve the ocular hemodynamics,cen-tral macular thickness and choroidal capillary layer blood flow density,with safety.

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白艳;王峰;张勤;刘君;.抗VEGF药物治疗渗出型老年性黄斑变性疗效及其对眼部血流动力学、OCT参数的影响[J].川北医学院学报,2025,40(10):1259-1262.

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  • 在线发布日期: 2025-11-03
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