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目的观察和评价应用弥可保保守治疗外伤性视神经病变的疗效。方法42例42眼随机分成两组,治疗组21例21眼,用弥可保注射液500μg半球后注射,辅以大剂量激素及综合治疗;对照组21例21眼,采用大剂量激素辅以综合治疗,比较两组间视力改善情况。结果治疗组有效率为80.95%,对照组有效率为61.90%,两组比较差异无统计学意义(P>0.05);治疗组显效率为52.38%,对照组显效率为14.29%,两组比较差异有统计学意义(P<0.05)。伤后无光感与有光感治疗有效率经χ2=5.94检验(P<0.05),差异有统计学意义。结论外伤性视神经病变早期诊断,早期大剂量激素联合弥可保半球后注射及综合治疗,可促进视功能的恢复,提高视力。
Objective To observe and evaluate the application of Mi-Paul protection of traumatic optic neuropathy. Methods Forty-two 42 eyes were randomly divided into two groups: 21 cases in the treatment group and 21 cases in the treatment group. The patients were injected with 500μg hemispheric injection of Miquoci supplemented with high-dose hormone and comprehensive treatment. The 21 cases in the control group were treated with high-dose hormone Comprehensive treatment, visual acuity between the two groups to improve the situation. Results The effective rate was 80.95% in the treatment group and 61.90% in the control group, with no significant difference between the two groups (P> 0.05). The effective rate was 52.38% in the treatment group and 14.29% in the control group The difference was statistically significant (P <0.05). After the injury light-sensitive and light sense of treatment efficiency by χ2 = 5.94 test (P <0.05), the difference was statistically significant. Conclusion Early diagnosis of traumatic optic neuropathy, early high-dose hormones combined with miconazole hemisphere after injection and comprehensive treatment, can promote visual function recovery, improve visual acuity.