大剂量甲泼尼龙冲击疗法治疗急性球后视神经炎病情观察及不良反应的护理体会

Clinical Observation and Nursing Experience of Adverse Reactions in Acute Retrobulbar Optic Neuritis Patients Treated With High-dose Methylprednisolone Pulse Therapy

目的探讨大剂量甲泼尼龙冲击疗法治疗急性球后视神经炎的临床观察及不良反应的护理措施。方法对40例(46只眼)急性球后视神经炎的患者资料进行性总结。结果全部患者治疗的总有效率为92.5%,除2例出现高血糖外,其他患者未出现严重不良反应。结论大剂量甲泼尼龙冲击疗法治疗急性球后视神经炎疗效确切,严密观察病情,做好护理工作是提高治疗效果、减少不良反应、改善预后的重要保障。

Objective To explore the clinical observation methods and care measures for adverse reactions in acute retrobulbar optic neuritis patients treated with high-dose methylprednisolone therapy. Methods A retrospective review was conducted among the 40 cases（46 eyes）of patients with acute retrobulbar optic neuritis. Results The total effective rate of all patients was 92.5%. Other than two cases had high blood glucose, there were no severe adverse reactions in the patients. Conclusion High-dose methylprednisolone pulse therapy has sure clinical effects in the treatment of acute retrobulbar optic neuritis. Close observation and good care against adverse reactions are significant protective measures for promoting clinical effects,reducing adverse reactions and improving prognosis.