《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (04): 252-253.

• 临床康复 • 上一篇    下一篇

老年人糖尿病眼肌麻痹临床分析

施天严; 徐洁慧; 俞颂平; 陈战巧; 杨爱萍   

  1. 温州医学院附属第五医院丽水市中心医院眼科 浙江省丽水市 323000
  • 收稿日期:2003-03-18 出版日期:2003-04-25 发布日期:2003-04-25

Ophthalmoplegia in senile patients with diabetes

SHI Tian-yan, XU Jie-hui, YU Song-ping, et al   

  1. Department of Ophthalmology,Lishui Central Hospital, Lishui 323000, Zhejiang, China
  • Received:2003-03-18 Published:2003-04-25 Online:2003-04-25

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摘要： 目的探讨老年人糖尿病眼肌麻痹的临床特点、发病机理及预后。方法对21例糖尿病并发眼肌麻痹患者行常规眼科检查及眼肌专项检查,并进行内科全身检查、实验室血生化检查及影像学检查。结果21例患者均为单眼发病,动眼神经麻痹者无瞳孔改变。结论糖尿病患者易合并眼肌麻痹,其微血管病变可能是临床发病的病理基础。本病经合理治疗预后良好。

关键词: 糖尿病, 眼肌麻痹, 临床, 发病机理

Abstract: ObjectiveTo study the clinical features and pathogenesis of ophthalmoplegia in senile patients with diabetes, and access the possibility of its development.MethodsBesides routine ophthalmologic and ocular muscle examination, general and laboratory examinations were also done. Some patients were diagnosed also with the help of image processing.ResultsMonocular involvement happened in all 21 patients. 12 patients suffered from oculomotor nerve paralysis, 5 abducent nerve paralysis, 3 trochlearis nerve paralysis, and 1 compound nerve paralysis. Among these patients with complete oculomotor nerve panalysis, no papillary change appeared.Conclusions Microvascular pathologic change may be the pathogenetic basis of ophthalmoplegia for senile diabetic patients. Its prognosis is favorable if reasonable treatment is made.

Key words: diabetes, ophthalmoplegia, clinic, pathogenesis