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目的 :探讨视神经炎 (ON)的病因、诊疗方法及预后。方法 :回顾分析ON60例、1 0 0眼的临床资料。结果 :ON可发生在任何年龄组 ,以 1 2～40岁者居多 ,病因明确的 3 6例中 ,发热、多发性硬化 (MS)引起者居多。分别用西药及中西医结合治疗各 3 0例、5 0眼 ,视力恢复达 0 5以上者西药组 3 1眼 ,中西医结合组 40眼 (P <0 0 5 )。病程平均西药组 2 8.5d ,中西医结合组为 1 2 5d ,视野不规则缩小前者 2 0眼 ,后者 1 5眼。结论 :ON病因复杂 ,VEP、MRI检查有助于诊断 ,MS病因不容忽视 ,中西医结合治疗较单纯西药治疗视力恢复快 ,病程短 ,效果好
Objective: To investigate the etiology, diagnosis and treatment of optic neuritis (ON) and its prognosis. Methods: The clinical data of ON60 cases and 100 eyes were retrospectively analyzed. Results: ON could occur in any age group, most of whom were in the range of 12 to 40 years old. Of the 36 cases with definite etiology, fever and multiple sclerosis (MS) were the most common cause. Western medicine and Western medicine were used to treat 30 cases and 50 eyes respectively. The visual acuity was restored to 0 5 in the western medicine group and 3 eyes in the western medicine group (P <0 05). The mean duration of course of treatment was 8.5 days in Western medicine group, 125 days in Integrative Medicine group, 20 eyes in the former with irregular vision, and 15 eyes in the latter. CONCLUSION: The causes of ON are complicated. VEP and MRI can be helpful for the diagnosis. The etiology of MS can not be neglected. The combination of TCM and Western medicine is faster than the western medicine in treating visual acuity, short course and good effect