复方樟柳碱配合针刺治疗老年人眼外肌麻痹疗效分析.docVIP

复方樟柳碱配合针刺治疗老年人眼外肌麻痹疗效分析 　　[摘要] 目的 分析复方樟柳碱注射液皮下注射配合针刺穴位治疗老年人眼外肌麻痹的疗效。 方法 回顾分析2012年1月～2014年1月间我科诊疗的29例老年眼外肌麻痹患者，以糖尿病、高血压、动脉硬化等微血管性病因的存在为主要原因，复方樟柳碱注射液，2 mL，患侧颞浅动脉旁皮下注射，1日1次，配合针灸科针刺穴位，1日1次，每次留针30 min，观察治疗后效果。 结果 治愈19例（65.52%），19例全部为眼外肌不全麻痹，年龄53～74岁，外直肌麻痹及上斜肌麻痹治愈率高；其中外直肌麻痹11例，内直肌麻痹5例，上斜肌麻痹2例，上直肌麻痹1例。好转9例（31.03%），完全性眼外肌麻痹症状改善明显，治疗3～4周时，自觉复视症状明显减轻，眼球运动障碍改善1～2 mm，之后症状改善缓慢；眼外肌不全麻痹，年龄80岁，自觉症状改善较缓；9例中外直肌麻痹4例，内直肌麻痹3例，上直肌麻痹2例。无效1例（3.45%），91岁，为外直肌完全麻痹，治疗2周，自觉症状无改善，眼球运动受限，不过中线，自动放弃继续治疗。 结论 规范治疗糖尿病、高血压病，复方樟柳碱注射液患侧颞浅动脉旁皮下注射，配合针刺穴位治疗微血管性病因所致老年人眼外肌麻痹为安全、理想的治疗方法。 　　[关键词] 老年人；眼外肌麻痹；复视；复方樟柳碱；针刺穴位 　　[中图分类号] R246；R777.4 [文献标识码] B [文章编号] 1673-9701（2016）19-0080-03 　　[Abstract] Objective To analyze the effects of subcutaneous injection of compound anisodine combined with acupuncture in treatment of external ophthalmoplegia in elder patients Methods 29 elder patients with external ophthalmoplegia treated in our department from January 2012 to January 2014 were reviewed and the main causes were microvascular reasons including diabetes mellitus， hypertension， and arteriosclerosis. The patients were given subcutaneous injection of compound anisodine 2 mL by the side of superficial temporal artery， once daily， combined with acupuncture retaining for 30 min， once daily，the effects were observed. Results 19 cases（65.52%） were cured. These 19 patients were all incomplete external ophthalmoplegia， aged 53-74， and the curative rate was high in lateral rectus paralysis and superior oblique paralysis； of which there were 11 cases of lateral rectus paralysis， 5 cases of medial rectus paralysis， 2 cases of superior oblique paralysis， and 1 case of superior rectus paralysis. 9 cases （31.03%） were relieved and the symptoms of complete external ophthalmoplegia were significantly improved. After 3-4 weeks of treatment， the patients reported significant remission of diplopia， and the disorder of ocular movement was improved for 1-2 mm. Since then the remission of symptoms was slow. For patients with incomp