调制中频电联合弥可保球旁注射治疗神经源性眼外肌麻痹  

Effectiveness of modulated medium frequency electrotherapy and peribulbar injection of mecobalamin in the treatment of neurogenic extraocular muscles paralysis

作　　者：王俊[1] 杨万章[1] 吴芳[1] 叶碧玉[1] 肖回乡[1] 

机构地区：[1]广东医学院附属南山医院康复医学科,中国广东省深圳市518052

出　　处：《国际眼科杂志》2011年第4期693-695,共3页International Eye Science

摘　　要：目的:观察调制中频电联合弥可保球旁注射对神经源性眼外肌麻痹的疗效。方法:选取神经源性眼外肌麻痹患者10例,其中男9例,女1例;平均年龄43.40±7.68岁,病程中位数43.50d。给予调制中频电治疗,20min/次,1次/d,10d为1疗程,联合球旁注射弥可保,500μg/次,隔日1次,10d为1个疗程,根据病情治疗2～4个疗程;观察眼位、复视及眼球运动改善情况。结果:脑外伤性眼外肌麻痹患者3例均治愈,5例脑干梗死所致眼外肌麻痹患者显效,1例脑外伤性眼外肌麻痹患者有效,1例脑外伤性眼外肌麻痹患者未愈。结论:调制中频电联合弥可保球旁注射治疗神经源性眼外肌麻痹有效。AIM：To observe the therapeutic effects of modulated medium frequency electrotherapy（MMFE）and peribulbar injection of mecobalamin for neurogenic extraocular muscles paralysis.METHODS：Ten patients（9 male and 1 female;average age：43.40±7.68 years;the median duration：43.50 days）were treated with MMFE for 20 minutes once a day and peribulbar injection of mecobalamin 500μg every other day,10 days as a course,for 2-4 courses based on patient’s condition;the changes of the position of eye,diplopia and ocular movement recover status were observed.RESULTS：Totally 3 patients were cured with traumatic brain injury,5 patients were improved with brainstem infarction,1 case showed efficacy with traumatic brain injury,1 case was of inefficacy with traumatic brain injury.CONCLUSION：MMFE and peribulbar injection of mecobalamin may improve the neurogenic extraocular muscles paralysis in patients.

关 键 词：眼外肌麻痹 复视 治疗 弥可保 球旁注射 调制中频电 

分 类 号：R777.4[医药卫生—眼科]