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复方当归和来佐利珠单抗对早产儿视网膜病变患儿视网膜功能和血清白介素-17A 的影响。

The Effects of Combuxil and Leizumab on Retinal Function and Serum Interleukin-17A in Premature Infants with Retinopathy.

机构信息

Ophthalmology, Department of Ophthalmology, Affiliated Hospital of Zunyi Medical University, Guizhou Provincial Eye Hospital, Guizhou Branch Center of National Clinical Research Center for Eye Diseases, Guizhou Provincial Key Laboratory of Characteristic Eye Diseases Characteristics, Zunyi, Guizhou 563003, China.

Ophthalmology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563003, China.

出版信息

Comput Math Methods Med. 2022 Sep 26;2022:6371994. doi: 10.1155/2022/6371994. eCollection 2022.

Abstract

OBJECTIVE

To investigate the effects of Compaximab and raizumab on retinal function and serum interleukin-17A level in retinopathy of prematurity.

METHODS

Sixty cases of retinopathy of prematurity treated in our hospital from February 2019 to April 2021 were selected. The patients were randomly divided into control group ( = 30) and research group ( = 30). The control group was treated with Compaq and the research group was treated with razumab. The curative effect, retinal function, incidence of complications, intraocular pressure at different time, and the level of serum interleukin-17A were compared.

RESULTS

Compared with the two groups, the curative effect of the research group 93.33% (28/30) was greater than that of the control group 66.67% (20/30), and the difference was statistically significant ( < 0.05). Compared with the incidence of complications, the incidence of corneal opacity, lens opacity, preretinal and vitreous hemorrhage, endophthalmitis, and traction retinal detachment in the research group was greatly lower, and the difference was statistically significant ( < 0.05). Following the therapy, the IOP of the two groups decreased at different times. The IOP of 1 min, 10 min, and 30 min in the research group was obviously lower, and the difference was statistically significant ( < 0.05). Following treatments, the levels of serum IL-17A were decreased. Compared with the control group, the level of serum IL-17A in the research group was greatly downregulated, and the difference was statistically significant ( < 0.05).

CONCLUSION

Intravitreal injection of razumab is an effective treatment for retinopathy of prematurity, which can effectively improve the retinal function of infants. The level of serum interleukin-17A can be reduced and intraocular pressure can be regulated, which is safe and effective.

摘要

目的

研究康帕昔单抗和雷珠单抗对早产儿视网膜病变的视网膜功能和血清白介素-17A 水平的影响。

方法

选取我院 2019 年 2 月至 2021 年 4 月收治的 60 例早产儿视网膜病变患者,随机分为对照组(n=30)和研究组(n=30)。对照组给予康帕昔单抗治疗,研究组给予雷珠单抗治疗。比较两组患者的疗效、视网膜功能、并发症发生率、不同时间点的眼压以及血清白介素-17A 水平。

结果

与两组相比,研究组的疗效 93.33%(28/30)大于对照组的 66.67%(20/30),差异有统计学意义(<0.05)。与并发症发生率相比,研究组角膜混浊、晶状体混浊、视网膜前和玻璃体积血、眼内炎和牵引性视网膜脱离的发生率明显降低,差异有统计学意义(<0.05)。治疗后,两组不同时间点眼压均降低,研究组 1min、10min 和 30min 时的眼压明显降低,差异有统计学意义(<0.05)。治疗后,血清 IL-17A 水平降低,与对照组相比,研究组血清 IL-17A 水平明显下调,差异有统计学意义(<0.05)。

结论

玻璃体内注射雷珠单抗是治疗早产儿视网膜病变的有效方法,能有效改善患儿的视网膜功能,降低血清白介素-17A 水平,调节眼压,安全有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b27/9529416/7d344d81c5ca/CMMM2022-6371994.001.jpg

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