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泼尼松龙在年龄相关性黄斑变性中的神经保护治疗

Prednisolone neuroprotective therapy in age-related macular degeneration.

作者信息

Vojniković Bozidar, Spanjol Josip

机构信息

Eye Polyclinic "Dr. B. Vojniković", Rijeka, Croatia.

出版信息

Coll Antropol. 2007 Jan;31 Suppl 1:69-70.

Abstract

134 patients with Age-related Macular Degeneration (AMD) (aging 47-75 years) were treated in therapy procedure with parabulbar injections of Methylprednisolone Acetate and Prednisolone Acetate. In the first group of patients with AMD (n = 71 patients) were treated with Methylprednisolone acetate, and second group (n = 63 patients) with Prednisolone acetate. Each patient was given doses of 60 mg, through two weeks, 10 mg every second day. It's estimated in all patients ameliorate in macular threshold, so that it's in the group with Methylprednisolone treatment, ameliorate effect begins after first week, than in second group, treated with Prednisolone, initial ameliorate effect is after second week. Complete effect in both groups is after 2 months. It can be concluded that the treatment of AMD with glucocorticoids has the ameliorate effect in vision loss and it is decided that earlier effect in the group treated with Methylprednisolone, is probably of higher affinity for glucocorticoid receptors.

摘要

134例年龄相关性黄斑变性(AMD)患者(年龄47 - 75岁)接受了球周注射醋酸甲基泼尼松龙和醋酸泼尼松龙的治疗。在第一组AMD患者(n = 71例)中使用醋酸甲基泼尼松龙治疗,第二组(n = 63例)使用醋酸泼尼松龙治疗。每位患者每两周给予60mg剂量,每隔一天给予10mg。据估计,所有患者的黄斑阈值均有改善,在使用甲基泼尼松龙治疗的组中,改善效果在第一周后开始,而在使用泼尼松龙治疗的第二组中,初始改善效果在第二周后出现。两组的完全效果均在2个月后出现。可以得出结论,用糖皮质激素治疗AMD对视功能丧失有改善作用,并且可以确定,在使用甲基泼尼松龙治疗的组中较早出现的效果,可能是因为其对糖皮质激素受体具有更高的亲和力。

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