复方樟柳碱治疗颅脑外伤合并动眼神经麻痹42例分析

目的:探讨复方樟柳碱注射液治疗颅脑外伤合并动眼神经麻痹的疗效。方法:回顾分析颅脑外伤合并动眼神经麻痹42例患者。治疗方法主要包括:复方樟柳碱注射液注射,颞侧皮下注射,2mL/次,1次/d,共14d1疗程;辅助高压氧,1次/d,10d1疗程。结果:治愈:复视、眼睑下垂消失,眼球活动恢复良好,眼位正,瞳孔恢复12例;好转:复视、眼睑下垂好转,眼球活动障碍改善,眼位不正,瞳孔部分恢复29例;无效:上述症状无明显改变1例。结论:复方樟柳碱注射液联合高压氧综合治疗颅脑外伤合并动眼神经麻痹疗效显著。

Analysis of the treatment of 42 cases of brain injury induced oculomotor paralysis with compound anisodine

AIM:To analyze the efficacy of using compound anisodine in the treatment of brain injury induced oculomotor paralysis.METHODS: Totally 42 cases of patients diagnosised with brain injury induced oculomotor paralysis,were analysed retrospectively. All patients were injected with compound anisodine injection subcutaneously around superficial temporal artery, 2mL per time and one time per day, totally 14 days per course of the treatment. At the same time, they all got high pressure oxygen therapy one time per day, altogether 10 days per course of treatment.RESULTS: Complete remission meant that disappearance of diplopia and ptosis, recovery to normal bulbus oculi action, correct position of eyes and normal size of pupil. Improvement meant that improvement of diplopia, ptosis and bulbus oculi action disorder, incorrect position of eyes, and partial recovery of pupil. Inefficacy meant that no manifest improvement of over-mentioned symptoms.Totally, 12 cases got complete remission, improvement in 29 cases and inefficacy in one.CONCLUSION:Compound anisodine injection subcutaneously combining with high pressure oxygen therapy is an effective and reliable treatment for patients with brain injury induced oculomotor paralysis.