山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (4): 68-70.

• 论文 • 上一篇    

鼠神经生长因子治疗视网膜色素变性的临床观察

尹炜炜, 王 刚, 宫妍,  刘晓芳, 黄新英   

  1. 烟台市莱阳中心医院眼科, 山东 莱阳 265200
  • 收稿日期:2010-03-22 修回日期:2010-05-25 出版日期:2010-08-16 发布日期:2010-08-16
  • 作者简介:尹炜炜(1970- ),女,主治医师,主要从事眼底病方面的研究。Email:yww-ly@163.com

Clinical observation of mouse nerve growth factor on retinitis pigmentosa

YIN Wei-wei, WANG Gang, GONG Yan, LIU Xiao-fang, HUANG Xin-ying   

  1. Department of Ophthalmology, Laiyang Central Hospital, Laiyang 265200, Shandong, China
  • Received:2010-03-22 Revised:2010-05-25 Online:2010-08-16 Published:2010-08-16

摘要:

目的    观察鼠神经生长因子(mNGF)治疗视网膜色素变性(RP)的临床效果。方法    对RP患者22例44眼给予mNGF肌肉注射治疗,观察治疗前后的最佳矫正视力、视野、三种视觉电生理指标(EOG、F-ERG、P-VEP)改变。结果    治疗后绝大多数病例中心视力提高、视野改善。暗适应F-ERG呈熄灭型的眼数减少(P<0.05),非熄灭型者波幅升高、潜时缩短。用棋盘格翻转法刺激全视野,可记录到P-VEP波形的眼数增加(P<0.05),P100振幅升高(P<0.05)、潜时缩短。EOG曲线变得起伏,Arden比值和Gliem比值升高(P<0.05)。治疗过程无并发症发生。结论    肌肉注射鼠神经生长因子治疗RP有效、可行。

关键词: 视网膜色素变性;鼠神经生长因子;治疗

Abstract:

Objective    To assess the clinical effects of mouse nerve growth factor (mNGF) on retinitis pigmentosa(RP).  Methods    22 RP patients (44 eyes) were treated with mNGF intramuscularly. Best-corrected visual acuity, perimetry and electrophysiological measures (EOG, F-ERG and P-VEP) were examined before and after treatment. Results    After therapy, the visions of most patients improved and their visual fields extended. The number of eyes whose scotopic F-ERG waves were undetectable decreased significantly (P<0.05). In the other eyes′ F-ERG waves, the amplitudes increased and implicit time shortened. The number of eyes whose P-VEP waves were detectable increased (P<0.05), the mean amplitude of P100 waves greatly increased (P<0.05),  and their implicit time shortened. The EOG traces became more undulant, and their Arden ratios and Gliem ratios obviously heightened (P<0.05). There was no complication in the treatment. Conclusion    Intramuscular injection of mNGF to treat RP is effective and feasible.

Key words: Retinitis pigmentosa; Mouse nerve growth factor; Therapy

中图分类号: 

  • R774.13
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