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玻璃体腔注射雷珠单抗与康柏西普治疗早产儿视网膜病变疗效比较

陈娟 罗先琼 张韫琦 谢素贞 任建兵 李静 聂川 梁志江 何其祯 黄学林

国际眼科杂志2024,Vol.24Issue(5):697-703,7.
国际眼科杂志2024,Vol.24Issue(5):697-703,7.DOI:10.3980/j.issn.1672-5123.2024.5.07

玻璃体腔注射雷珠单抗与康柏西普治疗早产儿视网膜病变疗效比较

Comparison of intravitreal injection of Ranibizumab versus Conbercept in the treatment of retinopathy of prematurity

陈娟 1罗先琼 2张韫琦 3谢素贞 4任建兵 2李静 4聂川 2梁志江 5何其祯 6黄学林4

作者信息

  • 1. (511495)中国广东省广州市,广州医科大学||(511442)中国广东省广州市,广东省妇幼保健院新生儿科
  • 2. (511442)中国广东省广州市,广东省妇幼保健院新生儿科
  • 3. (528000)中国广东省佛山市妇幼保健院儿科
  • 4. (511442)中国广东省广州市,广东省妇幼保健院眼科
  • 5. (511442)中国广东省广州市,广东省妇幼保健院公共卫生科
  • 6. (510632)中国广东省广州市,暨南大学医学院公共卫生和预防医学系
  • 折叠

摘要

Abstract

AIM:To compare the efficacy of intravitreal injection of ranibizumab(IVR)and intravitreal injection of conbercept(IVC)in children with retinopathy of prematurity(ROP). METHODS:Retrospective study.A total of 1 100 eyes with ROP treated with intravitreal anti-VEGF at our hospital from January 2015 to June 2023 were included.According to the different therapeutic drugs,the children were divided into two groups:IVR group and IVC group.According to the degree of ROP,the patients were divided into three groups:aggressive ROP(A-ROP),Zone Ⅰtype 1 ROP and Zone Ⅱ type 1 ROP.The reactivation and retreatment between the two groups were compared after propensity score matching(PSM)analysis,and they were followed-up for at least 3 mo after surgery. RESULTS:In Zone Ⅱ type 1 ROP,there was a statistically significant difference in the rates of reactivation and retreatment between the IVR and IVC groups(P<0.05);however,in A-ROP and Zone Ⅰ type 1 ROP,there were no statistically significant differences in the rates of reactivation and retreatment between the two groups(P>0.05).The risk of reactivation and retreatment of Zone Ⅰ type 1 ROP was higher than the Zone Ⅱ type 1 ROP.Furthermore,the use of drugs and corrected gestational age of first treatment were influencing factors of lesion recurrence and retreatment. CONCLUSION:There is a significant difference in the initial cure effect between the two drugs in Zone Ⅱ type 1 ROP,with the reactivation and retreatment rates of the IVC group being much lower than those of the IVR group.

关键词

早产儿视网膜病变/雷珠单抗/康柏西普/疗效

Key words

retinopathy of prematurity/Ranibizumab/Conbercept/efficacy

引用本文复制引用

陈娟,罗先琼,张韫琦,谢素贞,任建兵,李静,聂川,梁志江,何其祯,黄学林..玻璃体腔注射雷珠单抗与康柏西普治疗早产儿视网膜病变疗效比较[J].国际眼科杂志,2024,24(5):697-703,7.

基金项目

广东省基础与应用基础研究基金项目(No.2019A1515011417) (No.2019A1515011417)

广东省医学科学技术研究基金项目(No.A2022221) Guangdong Basic and Applied Basic Research Foundation(No.2019A1515011417) (No.A2022221)

Guangdong Provincial Medical Science and Technology Research Foundation(No.A2022221) (No.A2022221)

国际眼科杂志

OACSTPCD

1672-5123

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