分析与研究眼外肌麻痹的病因及预后  

Etiology and prognosis analysis and research outside of the eye muscle paralysis

作　　者：许燕红[1] 

机构地区：[1]中国石油天然气集团公司中心医院眼科,河北廊坊065000

出　　处：《中国医学前沿杂志（电子版）》2014年第9期148-150,共3页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的综合眼外肌麻痹患者的临床表现,探讨其病因及预后。方法总结135例眼外肌麻痹患者的临床表现,采用眼位、眼球运动、复视检查、CT、磁共振(MRI)、数字减影血管造影(DSA)影像学检查、生化检查、新斯的明检查等确定发病原因,并对患者进行为期2年的随访,分析患者预后。结果眼外肌麻痹主要临床表现为复视(74.81%)、头晕(63.70%)、恶心(54.07%)、发热(49.63%)、眼位偏斜(35.56%)、眼睑下垂(25.93%)、眼球活动障碍(20.74%)、血糖升高(17.78%)等;病因依次为糖尿病(17.78%)、颅脑外伤(15.56%)、血管疾病(12.59%)、炎症(10.37%)、重症肌无力(9.63%)等;随访2年后,21例(22.96%)复发。结论眼外肌麻痹临床症状复杂,病因多种多样,患者预后较好。Objective To explore the clinical manifestations of comprehensive extraocular muscle paralysis patient, carries on the analysis of causes and prognosis. Method The clinical manifestation of 135 cases of extraocular muscle paralysis patients, the ocular position, eye movement, diplopia test, CT, MRI, DSA imaging examination, biochemical test, neostigmine test to determine the cause, and the patients were followed up for 2 years, analyzed of the prognosis of the patients. Result The main clinical manifestations of extraocular muscle paralysis were diplopia （74.81%）, dizziness （63.70%）, nausea （54.07%）, fever （49.63%）, eye position deviation （35.56%） and strabismus, ptosis （25.93%）, ocular movement disorder （20.74%）, blood glucose （17.78%）;etiology in diabetes （17.78%）, traumatic brain injury （15.56%）, cerebrovascular disease （12.59%）, inflammation （10.37%）, myasthenia gravis （9.63%）; after two years of follow-up, 21 patients （22.96%） recurrence. Conclusion The clinical symptoms of muscle paralysis of eye are complex and the etiology is variety, it has good prognosis.

关 键 词：眼外肌麻痹 病因 临床表现 预后分析 

分 类 号：R777.4[医药卫生—眼科]