目的:观察调制中频电联合弥可保球旁注射对神经源性眼外肌麻痹的疗效。方法:选取神经源性眼外肌麻痹患者10例,其中男9例,女1例;平均年龄43.40±7.68岁,病程中位数43.50d。给予调制中频电治疗,20min/次,1次/d,10d为1疗程,联合球旁注射弥可保,500μg/次,隔日1次,10d为1个疗程,根据病情治疗2～4个疗程;观察眼位、复视及眼球运动改善情况。结果:脑外伤性眼外肌麻痹患者3例均治愈,5例脑干梗死所致眼外肌麻痹患者显效,1例脑外伤性眼外肌麻痹患者有效,1例脑外伤性眼外肌麻痹患者未愈。结论:调制中频电联合弥可保球旁注射治疗神经源性眼外肌麻痹有效。

AIM:To observe the therapeutic effects of modulated medium frequency electrotherapy(MMFE)and peribulbar injection of mecobalamin for neurogenic extraocular muscles paralysis.METHODS:Ten patients(9 male and 1 female;average age:43.40±7.68 years;the median duration:43.50 days)were treated with MMFE for 20 minutes once a day and peribulbar injection of mecobalamin 500μg every other day,10 days as a course,for 2-4 courses based on patient’s condition;the changes of the position of eye,diplopia and ocular movement recover status were observed.RESULTS:Totally 3 patients were cured with traumatic brain injury,5 patients were improved with brainstem infarction,1 case showed efficacy with traumatic brain injury,1 case was of inefficacy with traumatic brain injury.CONCLUSION:MMFE and peribulbar injection of mecobalamin may improve the neurogenic extraocular muscles paralysis in patients.

R777.4