摘要
目的:探讨结核性脑膜脑炎并发眼肌麻痹的临床特征。方法:回顾性分析本院2006年1月～2010年2月58例结核性脑膜脑炎并发眼肌麻痹的病例资料,根据病情严重程度分为重组和轻组。结果:外直肌麻痹22例,动眼神经麻痹33例,上斜肌麻痹3例,结核性脑膜脑炎相对轻组30例,好转22例,无效8例,有效率73.3%;重组28例,好转16例,无效12例,有效率57.1%。两组显著性差异(P<0.01)。结论:结核性脑膜脑炎并发眼肌麻痹治疗效果与结核性脑膜脑炎病情轻重密切相关。
Objective To explore the clinical features of tuberculous meningocephalitis(TBM) with external ophthalmoplegia.Methods Retrospective analysis was performed on 58 cases suffering from TBM which with external ophthalmoplegia from Jan.2006 to Feb.2010 at Changsha Central Hospital.Results There were 22 external rectus palsy,33 oculomotor nerve palsy,and 3 superior oblique muscle palsy among the 58 patients.According to the degree of TBM,these cases were divided into two groups: slight state group and critical group.There were 30 cases in the slight state group in which 22 cases improved,and 8 cases didn't change;the total effect rate of those is 73.3%.There were 28 cases in the critical group in which 16 cases improved,and 12 cases didn't change;the total effect rate of those is 57.1%.The curative effect of the slight state group was better than that of the critical group(P<0.01).Conclusion The curative effect of tuberculous meningocephalitis combined with external ophthalmoplegia is associated seriously with the degree of tuberculous meningocephalitis.
出处
《湖南师范大学学报（医学版）》
2011年第1期72-73,共2页
Journal of Hunan Normal University(Medical Sciences)
关键词
结核性脑膜脑炎
眼肌麻痹
tuberculous meningocephalitis
external ophthalmoplegia
