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.
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
