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[摘要]
目的:探讨眼肌按摩联合复方樟柳碱太阳穴注射治疗后天性眼肌麻痹的临床疗效。
方法:将52例52眼后天眼肌麻痹患者按就诊顺序随机分成治疗组(眼肌按摩联合复方樟柳碱太阳穴注射)27例27眼,对照组(常规西药治疗)25例25眼。治疗组:眼肌按摩的同时,联合复方樟柳碱2mL患侧太阳穴注射,1次/d,每个疗程14d。可连续注射4个疗程,逐渐停药,痊愈者可随时终止治疗; 对照组:采用皮质激素、扩血管药物及大剂量B族维生素治疗14~60d。
结果:治疗组总有效率85%,对照组总有效率52%。两组比较结果显示:治疗组疗效明显优于对照组,差异有显著统计学意义(χ2= 6.71,P<0.01)。
结论:眼肌按摩联合复方樟柳碱太阳穴注射治疗后天性眼肌麻痹可缩短治疗时间,操作简单、安全,是一种有效的临床治疗方法。
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[Abstract]
AIM: To evaluate the clinical curative effects of the compound anisodine's temple injection combined with the eye muscle massages in the treatment of the acquired ophthalmoplegia.
METHODS: According to the sequence of seeking medical advice, 52 cases(52 eyes)of the acquired ophthalmoplegia were randomly divided into the treatment group(eye muscle massage combined with the compound anisodine temple injection)27 cases 17 eyes and the matched control(normal regulations western medicine treat)25 cases 25 eyes. The treatment group was treated with eye muscle massage as well as temple injection of 2mL compound anisodine, once a day, 14 days a course—the treatment was injected 4 times on end and the medicine was stopped gradually. The treatment of the completely recovered was terminated at any time. Matched control: cortex hormone, vascular dilator drug and big dosage B clan vitamin were adopted in the treatment for 14-60 days.
RESULTS:The total efficient rate in treatment group was 85%, in control group was 52%. The difference was obvious. The curative effect of the treatment group surpassed the matched control, with statistical significance(χ2=6.71, P<0.01).
CONCLUSION: The method of the compound anisodine's temple injection combined with the eye muscle massages in the treatment of the acquired ophthalmoplegia not only shortens the treatment time but also posses easy procedure and safely. Meanwhile it is also an effectively clinical treatment method.
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