摘要
目的:回顾眶内电针治疗外伤性单侧展神经麻痹的临床疗效,分析影响疗效的相关因素。方法:选择接受眶内电针治疗的外伤性单侧展神经麻痹患者,分析性别、年龄、病程、患眼、昏迷、眶壁骨折、颅内出血、眼位评分、完全性麻痹及治疗次数等对痊愈的影响。结果:共收集103例患者,男76例,女27例;左眼患病66例;右眼患病37例;平均年龄(37.17±15.23)岁;眶内电针治疗后痊愈38例(36.89%),有效47例(45.63%),无效18例(17.48%),总有效率82.52%。组间比较结果显示,痊愈与未痊愈患者在年龄、病程、眼位评分、昏迷及颅内出血等方面差异均有统计学意义(均P<0.05);二元多因素Logistic回归分析显示,影响痊愈的因素包括病程、眼位评分及治疗次数,其中病程、眼位评分为痊愈的危险因素(β=-0.013,P=0.043;β=-1.124,P=0.002);治疗次数为痊愈的保护因素(β=0.029,P=0.002)。结论:眶内电针是治疗外伤性单侧外展神经麻痹的有效方法,患者病程越短、眼位评分越低、治疗次数越多痊愈的可能性越大。
Objective:To review the efficacy of intraorbital electroacupuncture on treating unilateral traumatic abducens nerve palsy and to analyze the relevant factors of efficacy.Methods:Patients with unilateral traumatic abducens nerve palsy who received intraorbital electroacupuncture treatment were enrolled.Patient gender,age,course of disease,affected eye,condition of coma,orbital fracture,intracranial hemorrhage after trauma,ocular position score,paralysis,and number of treatments were recorded and analyzed for their relevance to recovery.Results:Total 103 patients of which 76 were male and 27 were female were enrolled.The left eye was affected in 66 cases and the right eye in 37 cases.The average age was(37.17±15.23)years old.Intraorbital electroacupuncture treatment was curative in 38 patients(36.89%),effective in 47(45.63%),and ineffective in 18(17.48%).The total effective rate was 82.52%.Results of inter-group comparisons showed that the differences in patients’age,course of disease,ocular position score,coma,and intracranial hemorrhage between recovery and non-recovery were statistically significant(P<0.05).Binary logistic regression revealed that course of disease,ocular position score,and number of treatments were relevant factors of recovery(P<0.05).The course of disease and ocular position score were risk factors of recovery(β=-0.013,P=0.043;β=-1.124,P=0.002),and the number of treatments was a protective factor of recovery(β=0.029,P=0.002).Conclusion:Intraorbital electroacupuncture is an effective method for treating unilateral traumatic abducens nerve palsy.Shorter course of disease,lower ocular position score,and higher numbers of treatment are more likely to result in the patient being cured.
作者
周凌云
吴秀亭
刘铁镌
刘微
郭晓雪
苏畅
栗雪梅
赵明
纪晓杰
ZHOU Ling-yun;WU Xiu-ting;LIU Tie-juan;LIU Wei;GUO Xiao-xue;SU Chang;LI Xue-mei;ZHAO Ming;JI Xiao-jie(Department of Acupuncture&Eyeball Movement Disorder Treating Center,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China;Institute of Acupuncture and Massage,Heilongjiang University Of Chinese Medicine,Harbin 150040,China)
出处
《神经损伤与功能重建》
2020年第3期144-147,共4页
Neural Injury and Functional Reconstruction
基金
国家自然科学基金面上项目(No.81674052)
黑龙江省中医药科研项目(No.ZHY18-147)
黑龙江中医药科研项目(No.ZHY12-W031)。
关键词
颅脑外伤
外展神经麻痹
复视
眼球运动障碍
电针
brain trauma
abducens nerve palsy
diplopia
eyeball movement disorder
electroacupuncture
