摘要
目的 :探讨视神经炎 (ON)的病因、诊疗方法及预后。方法 :回顾分析ON60例、1 0 0眼的临床资料。结果 :ON可发生在任何年龄组 ,以 1 2～40岁者居多 ,病因明确的 3 6例中 ,发热、多发性硬化 (MS)引起者居多。分别用西药及中西医结合治疗各 3 0例、5 0眼 ,视力恢复达 0 5以上者西药组 3 1眼 ,中西医结合组 40眼 (P <0 0 5 )。病程平均西药组 2 8.5d ,中西医结合组为 1 2 5d ,视野不规则缩小前者 2 0眼 ,后者 1 5眼。结论 :ON病因复杂 ,VEP、MRI检查有助于诊断 ,MS病因不容忽视 ,中西医结合治疗较单纯西药治疗视力恢复快 ,病程短 。
Objective:To investigate the causes and treatment methods of optic neuritis(ON). Method:60 cases (100 eyes) were analyzed.Result:ON can occur in any age,which is in 12～40 the most.Of the obvious causes,fever and mutille sclerosis were ranked the first place.30 cases (50 eyes) in each group were treated with western medicine and Chinese medicine combined with western medicine respectively.The sight were higher than 0.5 in 31 eyes in western medicine group,in 40 eyes in combination group (P<0.05) .In the western medicine group,the course was 28.5 days in equal,optic field became more little in 20 eyes;in the western medicine combined with Chinese medicine group,they were 12.5 days and 15 eyes. Conclusion:The causes are complicated,examination of VEP and MRI are helpful to dignosis,MS cause is important.Chinese medicine combined with western medicine are more better than western medicine treatment only.
关键词
视神经炎
病因学
病例研究
多发性硬化
治疗结果
Optic neuritis
Etiology
Case studies
Multiple sclerosis
Treatment outcome
