The efficacy among different dose of intravitreal conbercept injection for the treatment of retinopathy of prematurity

Shuang Sun, Xiantao Sun, Yuebing Lu
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Abstract

Objective To evaluate the efficacy of intravitreal injection of different dose of conbercept for the treatment of retinopathy of prematurity (ROP). Methods Prospective randomized controlled study. The clinical data of 120 eyes of 60 children of prethreshold type 1 ROP diagnosed in Children’s Hospital Affiliated to Zhengzhou University from Oct. 2017 to Oct. 2018 were analyzed. All cases were randomly divided into two groups, including low-dose group (0.15 mg/0.015 ml) and high-dose group (0.25 mg/0.025 ml). The main outcome measure was the total success rate of treatment, and the secondary outcome measures were the success rate of single treatment and adverse reactions. Results The total success rate of treatment was 94.17% (113/120). In 52 eyes of 26 cases in the low-dose group, 49 eyes received one or more injections to control the disease, with a success rate of 94.23%. In 68 eyes of 34 children in the high-dose group, 64 eyes received one or more injections to control their condition, with a success rate of 94.12%. The difference was not statistically significant between the two groups (χ2=0.026, P=0.979). The success rate of single injection in low-dose group was 76.92% (40/52) and 61.76%(42/68) in the high-dose group. There is no statistically significant difference between the two groups (χ2=1.762, P=0.078). Conclusion The low-dose of conbercept is effective in the treatment of ROP, the care rate is the same as the high dose of that. Key words: Conbercept, injection, intravitreal, different doses; Retinopathy, premature; Success rate, treatment
不同剂量玻璃体内注射孕酮治疗早产儿视网膜病变的疗效观察
目的探讨不同剂量的康贝莱玻璃体内注射治疗早产儿视网膜病变(ROP)的疗效。方法前瞻性随机对照研究。分析2017年10月至2018年10月郑州大学附属儿童医院诊断的阈前1型ROP患儿60例120眼的临床资料。所有病例随机分为低剂量组(0.15 mg/0.015 ml)和高剂量组(0.25 mg/0.025 ml)。主要观察指标为总治疗成功率,次要观察指标为单次治疗成功率和不良反应。结果总治疗成功率为94.17%(113/120)。低剂量组26例52眼,49眼接受一次或多次注射以控制病情,成功率为94.23%。高剂量组34例患儿68只眼,64只眼接受一次或多次注射以控制病情,成功率为94.12%。两组间差异无统计学意义(χ2=0.026, P=0.979)。低剂量组单次注射成功率为76.92%(40/52),高剂量组为61.76%(42/68)。两组间差异无统计学意义(χ2=1.762, P=0.078)。结论低剂量康宁治疗ROP疗效显著,其护理率与高剂量康宁相同。关键词:conberconcept;注射剂;玻璃体内;视网膜病变,过早;治疗成功率
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