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[视网膜胺用于治疗结核性脉络膜视网膜炎的结果]

[Results of retinalamine use in the treatment of tuberculous chorioretinitis].

作者信息

Aleksandrova T E, Aleksandrov E I

出版信息

Vestn Oftalmol. 2007 Mar-Apr;123(2):25-8.

PMID:17650606
Abstract

The efficiency of the peptide bioregulator retinalamine in the complex treatment of patients with tuberculous chorioretinitis was studied. Ninety-seven patients (69 females and 28 males) with inactive tuberculous chorioretinitis (132 eyes) were followed up. According to the treatment option, the patients were divided into 2 groups: a study group and a control one. Parabulbar injections of retinalamine were used in the study group. The conventional treatment using parabulbar injections of emoxipine (an agent from the group of synthetic antioxidants) was performed in the control group. The results of treatment were assessed by visual acuity, the number of pathological scotomas in the field of vision and the findings of electrophysiological investigations (EPI). Analysis of the results of conventional versus peptide bioregulator therapy used in patients with inactive tuberculous chorioretinitis showed the advantages of retinalamine. This manifested itself as increased visual acuity in 66.3% of the patients receiving retinalamine while in the emoxipine-treated patients, visual acuity increased only in 20% of cases. In the patients taking retinalamine, the positive changes in the field of vision were statistically significant in the number of normal test objects, relative and absolute scotomas while in the emoxipine group, only the reduction in the number of absolute scotomas was significant. The values of EPI suggest that the peptide bioregulator is more effective in enhancing the functional activity of retinal neurons than the synthetic antioxidant.

摘要

研究了肽生物调节剂视黄胺在结核性脉络膜视网膜炎患者综合治疗中的疗效。对97例(69例女性和28例男性)非活动性结核性脉络膜视网膜炎患者(132只眼)进行了随访。根据治疗方案,将患者分为两组:研究组和对照组。研究组采用球周注射视黄胺。对照组采用球周注射依莫昔平(一种合成抗氧化剂类药物)的传统治疗方法。通过视力、视野中病理性暗点的数量以及电生理检查(EPI)结果来评估治疗效果。对非活动性结核性脉络膜视网膜炎患者使用传统疗法与肽生物调节剂疗法的结果分析显示了视黄胺的优势。这表现为接受视黄胺治疗的患者中有66.3%的患者视力提高,而在接受依莫昔平治疗的患者中,只有20%的病例视力提高。在服用视黄胺的患者中,视野方面的阳性变化在正常测试对象数量、相对和绝对暗点方面具有统计学意义,而在依莫昔平组中,只有绝对暗点数量的减少具有显著性。EPI的值表明,与合成抗氧化剂相比,肽生物调节剂在增强视网膜神经元的功能活性方面更有效。

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