外伤性视神经病变流行病学及临床诊治分析  

Analysis of clinical treatment and epidemiology of traumatic optic neuropathy

作　　者：秦萍[1] 

机构地区：[1]郑州大学第二附属医院眼科,郑州450014

出　　处：《中国实用神经疾病杂志》2010年第21期25-27,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析外伤性视神经病变流行病学及临床诊治效果。方法回顾分析我院眼科最近4年来收治的46例(49眼)外伤性视神经病变患者的流行病学特点、诊断和治疗效果。结果致伤原因以电动自行车摔伤、机动车事故撞伤为主。致伤的主体为男性青壮年。伤后视力无光感者治疗有效率为24.14%;视力光感以上者治疗有效率75.00%。接受治疗时间与疗效显著相关(P<0.01)。结论外伤性视神经病变多见于男性青壮年,致伤原因主要是电动自行车和机动车事故;其治疗效果与伤后视力受损程度及开始治疗时间关系密切。Objective To analyze the epidemiological features and effect of clinical treatment for traumatic optic neuropathy（TON）. Methods Forty-six patients （49 eyes） with TON in the past 4 years were retrospectively studied on the epidemiological features, effect of diagnosis and treatment. Results The injury causes included the accidents of the electric bicycle and vehicle. The majority was young male. The post-traumatic visual acuity consisted of NLP（no light perception ） whose treatment effective rate was 24.14%, and was better than LP（light perception） whose treatment effective rate was 75.00%. There was a significant relevance between the starting treatment time after trauma and therapeutic effects（P〈0.01）. Conclusion The injury causes of traumatic optic neuropathy are mainly caused by the accidents of the electric bicycle and vehicle; Most of patients are young males. The curative effect has close connections with damage extent of the post-traumatic visual acuity and the staring time of treatment.

关 键 词：外伤性视神经病变 流行病学 

分 类 号：R774.6[医药卫生—眼科]