糖尿病动眼神经麻痹28例临床分析

Clinical Analysis of 28 Cases of Diabetic Oculomotor Nerve Palsy

目的探讨糖尿病性动眼神经麻痹的临床特点,提高诊断和治疗水平.方法回顾性分析糖尿病性动眼神经麻痹患者的临床资料,随访观察2个月.结果入选的28例患者中,均为2型糖尿病患者,28例患者急性起病21例,亚急性起病7例,均为单眼受累,完全动眼神经麻痹19例,不完全动眼神经麻痹9例,眼睑下垂25例,眼球运动障碍复视18例,伴有头痛、面部疼痛16例.结论糖尿病动眼神经麻痹急性或亚急性发病,单发多见,眼睑下垂,眼球运动障碍复视是常见的临床表现,瞳孔多不受累,多伴有疼痛,激素治疗有效.

Objective To explore the clinical characteristics of diabetic oculomotor nerve palsy so as to improve its diagnosis and treatment.Methods The clinical data of patients with diabetic oculomotor nerve palsy were retrospectively analyzed and followed up for 2 months.Results 28 patients were included,all patients had type 2 diabetes.Among the 28 DM patients,21 patients had acute onset and 7 had subacute onset,all were monocular,complete oculomotor nerve palsy in 19 cases,incomplete palsy in 9 cases.Among the 28 DM patients,there are 25 patients with ptosis,18 patients with ocular motility disorders and diplopia,16 patients with facial pain,headaches.Conclusion Diabetic oculomotor nerve palsy acute or subacute onset,unilateral onset more,eyelid droop,eye movement disorder diplopia is common clinical manifestations,pupil is generally unafected,more accompanied by pain,hormone treatment is effective.