鼠神经生长因子对糖尿病性视神经病变的疗效分析
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Efficacy of mouse nerve growth factor in treating diabetic optic neuropathy
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    摘要:

    目的:探讨鼠神经生长因子(mouse nerve growth factor,M-NGF)治疗糖尿病性视神经病变(DON)的疗效及安全性。

    方法:糖尿病性视神经病变患者67例115眼,根据是否需要激光视网膜光凝治疗分为两组,每组随机分为常规治疗组和M-NGF治疗组,均给予常规治疗,M-NGF治疗组加用M-NGF,疗程3wk。治疗后随访2mo,比较各组患者治疗后视力、视野恢复情况,并观察M-NGF治疗的安全性。

    结果:在不需要激光视网膜光凝组,常规治疗和M-NGF治疗的总有效率分别为71.4%和94.7%,后者总有效率高于前者(P<0.05); 在需要激光视网膜光凝组,常规治疗和M-NGF治疗的总有效率分别为73.0%和93.3%,后者总有效率高于前者(P<0.05); 在激光组和非激光组,治疗效果无明显统计学差异(P>0.05)。除个别患者注射部位出现局部疼痛、红肿硬结外,未见其它不良反应。

    结论:M-NGF治疗DON安全、有效,值得临床推广应用。

    Abstract:

    AIM: To investigate the efficacy and safety of the mouse nerve growth factor(M-NGF)in treating diabetic optic neuropathy(DON).

    METHODS: All 67 cases(115 eyes)with DON were randomly divided into two groups according to the need of photocoagulation or not, and each group was randomly divided into normal treatment group and M-NGF treatment group. Patients in normal treatment group were treated by conventional way and those in M-NGF treatment group were treated with M-NGF plus conventional treatment for 3 weeks. Two months later, the vision and visual field of different groups were inspected and the safety was evaluated.

    RESULTS: The effective rate was 71.4% in normal treatment group and 94.7% in M-NGF treatment group(P<0.05)in non-photocoagulation group, and 73.0% in normal treatment group and 93.3% in M-NGF treatment group(P<0.05)in photocoagulation group. The general effective rate of later was higher than the former(P<0.05), while the treatment effect had no significant statistical difference(P>0.05). Apart from local injection pain and swelling scleroma in several patients, other side effects were not found.

    CONCLUSION: M-NGF is an effective and safe way to treat DON, which is worth widely applying in clinical practice.

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马健利,孙先勇,张杰,等.鼠神经生长因子对糖尿病性视神经病变的疗效分析.国际眼科杂志, 2012,12(10):1958-1960.

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  • 收稿日期:2012-06-27
  • 最后修改日期:2012-09-04
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