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脉冲葡萄糖皮质体治疗对有活性的格雷夫斯轨道病变患者视网膜血流的影响
Hedayatullah Mohammadi1, İrfan Botan Güneş2, Şeyhmus Arı3
1Department of Ophthalmology, Medicalpark Kocaeli Hospital, 41050, Kocaeli, Turkey.
BMC ophthalmology
|July 2, 2025
概括
静脉注射葡萄糖皮质体治疗增加了视网膜血液流动在活跃的Graves轨道病变 (GO) 的患者. 然而,血液流量仍然低于健康对照组,这表明活跃GO.的循环系统持续变化.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 医疗成像医学成像
背景情况:
- 格雷夫斯轨道病 (GO) 与视网膜血流减少有关.
- 葡萄糖皮质体治疗对活性GO视网膜血动力学的影响需要进一步研究.
研究的目的:
- 评估静脉注射甲基普雷迪尼索隆对有活性的GO患者视网膜血流的影响.
- 为了将GO患者的视网膜血流和黄斑厚度与健康对照进行比较.
主要方法:
- 使用OCT-Angiography测量了视网膜血液流动的表面和深层,外部视网膜毛细血管,和choriocapillaris.
- 在32名活跃的GO患者中,在甲基prednisolone治疗前和治疗后一周进行了测量.
- 还评估了中央黄斑厚度,眼内压力和视力敏度,并与32名健康对照人进行了比较.
主要成果:
- 与所有测量水平的对照组相比,在活跃的GO患者中,视网膜血流显著降低 (p < 0.001).
- 在治疗后,视网膜血流增加,但仍然明显低于对照组 (p < 0.001).
- 与对照组相比,活跃的GO患者在治疗前和治疗后的中央黄斑厚度显著增加 (p < 0.001).
结论:
- 脉冲葡萄糖皮质体治疗改善了在活跃的格雷夫斯轨道病的视网膜血流.
- 尽管接受了治疗,但GO患者的视网膜血流并没有完全恢复到健康人群中所见的水平.
- 在活跃的GO患者中,治疗后中央黄斑厚度仍然较高.
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