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目的探讨甲基强的松龙(甲强龙)联合樟柳碱注射液治疗视神经炎。方法住院患者随机分组,治疗组37例,5%葡萄糖氯化钠注射液500ml加甲强龙注射液1000mg静脉滴注3d,1次/d,对照组29例,用0.9%氯化钠注射液250ml加地塞米松注射液25mg静脉滴注3d,1次/d;两组均复方樟柳碱患侧或双颞侧浅动脉旁皮下注射14d,均常规服用维生素B1片、复方丹参片、5腺苷B12片、ATP片。结果治疗组治愈26例(68.2%),总有效35例(94.8%),对照组治愈10例(34.5%),总有效21例(72.4%)。两组治疗结果有显著性差异(P<0.01)。结论甲基强的松龙联合复方樟柳碱是治疗视神经炎的有效方法,优于地塞米松注射液联合复方樟柳碱。
Objective To investigate the treatment of optic neuritis with methylprednisolone (methylprednisolone) combined with anisodine injection. Methods Inpatients were randomly divided into treatment group (n = 37), treatment group (n = 37), 500ml of 5% dextrose sodium chloride injection and 1000mg of methylprednisolone injection intravenously once a day for 3d and control group of 29 with 0.9% sodium chloride injection 250ml plus dexamethasone injection 25mg intravenous infusion of 3d, 1 / d; both groups were anisodine compound or bilateral temporal artery and subcutaneous injection of 14d, are routinely taking vitamin B1 tablets, compound Danshen tablets, 5 gland Glycosides B12 tablets, ATP tablets. Results The treatment group cured 26 cases (68.2%), the total effective 35 cases (94.8%), the control group cured 10 cases (34.5%), the total effective 21 cases (72.4%). There was significant difference between the two groups (P <0.01). Conclusion Methylprednisolone combined with compound anisodine is an effective treatment for optic neuritis, better than dexamethasone injection combined with compound anisodine.