糖尿病性眼肌麻痹的临床分析  

A Clinical Analysis of Diabetic Ophthalmoplegia

作　　者：郭露萍[1] 陆穗[1] 叶翠玉[1] 曾明兵[1] 潘翠环[1] 

机构地区：[1]广州医学院第二附属医院眼科,广东广州510260

出　　处：《广州医学院学报》2005年第2期34-35,共2页Academic Journal of Guangzhou Medical College

摘　　要：目的:分析糖尿病性眼肌麻痹的临床特点及治疗。方法:回顾性总结23例糖尿病性患者并发眼肌麻痹的临床类型、斜视程度及瞳孔状况;发病时与糖尿病病程、血糖的关系以及治疗方法。结果:糖尿病性眼肌麻痹受累的脑神经多以外展神经、动眼神经为主;麻痹程度多呈不完全性或者100～200°斜视;瞳孔受累仅占4%;综合性治疗辅以低频脉冲电刺激疗法有助眼肌功能的恢复。结论:在眼肌麻痹的病因诊断中糖尿病因素不容忽视;低频脉冲电刺激疗法对本病治疗有较好的疗效。Objective:To study the clinical character and treatment of diabetic ophthalmoplegia. Method:A retrospective study was conducted which analysed the clinical type, degree of strabismus, pupil status, and the relationship with the diabetic course, blood glucose as well as the treatment method. Results:The most affected nerves in diabetic ophthalmoplegia were abducens nerve and oculomotor nerve,usually not completely paralyzed and with 100~200 degree strabismus. The pupil was affected in only 4% of cases. A comprehensive method with low frequence of electric stimulus was helpful. Conclusion:In diagnosis course, the diabetic factor should not be neglected. Low frequency electric stimulus showed effective to the recovering of diabetic ophthalmoplegia.

关 键 词：糖尿病 眼肌麻痹 物理疗法 

分 类 号：R777.45[医药卫生—眼科]