视神经炎的临床分析  

Clinical analysis of optic neuritis

作　　者：文丰[1] 许霞[1] 周宏健[1] 王骥[1] 

机构地区：[1]浙江省宁波市江东眼科医院,宁波315040

出　　处：《中国中医眼科杂志》2007年第2期79-80,共2页China Journal of Chinese Ophthalmology

摘　　要：目的比较甲基强的松龙与地塞米松对视神经炎的治疗效果,分析本病预后的相关因素。方法对2000年1月至2006年3月在我院诊断为视神经炎46例(56眼)的病案资料进行回顾性分析。其中2000年1月至2003年3月26例(31眼)视神经炎患者均用地塞米松治疗,2003年4月至2006年3月所有收住院的视神经炎患者20例(25眼)均用甲基强的松龙治疗。结果本病患者的预后与年龄、病程、住院天数无明显相关(P=0.9275,0.3144,0.7838)。地塞米松组患者(31眼)住院期间治愈7眼(22.58%),甲基强的松龙组患者(25眼)治愈12眼(48.00%),二者比较差异有显著性(P=0.0456),甲基强的松龙组疗效明显好于地塞米松组。结论用甲基强的松龙治疗视神经炎更为安全有效。本病疗效与患者年龄、病程、住院天数无明显相关。OBJECTIVE To compare effects of DXM and methylprednisolone on the clinical features, therapeutic effects and prognostic factors of optic neuritis.METHODS Fifty- nine cases （89 eyes） of optic neuritis were reviewed. The clinical features, therapeutic options and effects were analyzed. Among thirty- one cases treated with DXM, 7 cases were cured during hospitalization.Among twenty - five cases treated with methylprednisolone, 12 cases were cured during hospitalization. RESULTS There were significant differences between the group of DXM and methylprednisolone during hospitalization （ P 〈 0.05） . There were no significant relationship between the prognosis, age and the period of hospitalization. CONCLUSIONS During hospitalization methylprednisolone is better than DXM for the treatment of optic neuritis.

关 键 词：视神经炎 治疗 预后 临床分析 

分 类 号：R774.61[医药卫生—眼科]