甲基强的松龙冲击量治疗外伤性视神经病变54例疗效分析

发布时间：2018-02-01 08:26

本文关键词： 外伤性视神经病变冲击量治疗糖皮质激素　出处：《世界最新医学信息文摘》2016年82期 　论文类型：期刊论文

【摘要】：目的观察甲基强的松龙冲击量治疗外伤性视神经病变的效果。方法对于在2000年5月至2015年5月期间我院收治的外伤性视神经病变54例患者进行回顾性分析。结果全部随访3个月,54例患者共治愈38例,有效者11例,无效者5例。患者就诊不同时间结果:24h内就诊者27例治愈,有效3例,无效0例;24h~48h就诊者治愈10例,有效6例,无效2例;48h~72h就诊者治愈1例,有效2例,无效3例。就诊者治愈率之间的差异有统计学意义(P0.01);24h以后就诊者治愈率之间差异无统计学意义(P=0.105)。治疗前有无光感者治愈率之间有统计学意义(P0.01)。结论采用大剂量甲基强的松龙冲击治疗外伤性视神经病变安全有效;外伤性视神经病变要做到早发现,早治疗;外伤性视神经病变保守治疗为主,必要时考虑视神经管减压术。
[Abstract]:Objective to observe the efficacy of methylprednisolone in the treatment of traumatic optic neuropathy. Methods from May 2000 to May 2015, 54 patients with traumatic optic neuropathy treated in our hospital were treated with gyrus. Results all patients were followed up for 3 months. In 54 cases, 38 cases were cured, 11 cases were effective and 5 cases were ineffective. 10 cases were cured, 6 cases were effective and 2 cases were ineffective. 1 case was cured, 2 cases were effective and 3 cases were ineffective in 48 h or 72 h. The difference of cure rate among the patients was statistically significant (P 0.01). There was no significant difference in the cure rate between the patients after 24 hours. There was a significant difference in the cure rate between the patients with or without light sensation before treatment (P 0.01). Conclusion High dose methylprednisolone is safe and effective in the treatment of traumatic optic neuropathy. Traumatic optic neuropathy should be found and treated early. The main conservative treatment of traumatic optic neuropathy is optic canal decompression.
【作者单位】：河南省许昌市第二人民医院;
【分类号】：R774.6
【正文快照】： 0引言近几年,随着社会、经济的快速发展,车祸、工地伤等致颅脑损伤病人逐年增加。外伤性视神经病变是伴随颅脑损伤出现的,是视神经的直接或间接损伤,有时会因颅脑损伤而病情掩盖,错过最佳治疗时机,导致失明[1]。自2000年5月至2015年5月,我院共收治外伤性视神经病变54例,采用甲

【相似文献】