22例糖尿病视神经病变综合治疗的疗效观察

目的：总结诊断及治疗糖尿病性视神经病变（diabeticopticneuropathy，DON）的临床经验，为本病的治疗和预防提供依据。方法：回顾性研究22例糖尿病视神经痛变的发病特点，在接受治疗的患者中严格控制血糖，应用复方樟柳碱注射液病侧颞浅动脉旁皮下注射，口服或静脉滴注活血化瘀药物，并口服维生素B1、维生素B2、肌苷片等营养视神经的药物，同时给予全身检查，包括对高血压、糖尿病等全身疾病的治疗，观察经综合治疗前后的视力、眼底、视野改变及眼底荧光血管造影（fundusfluoresceinall-giography，FFA）的特点等。结果：接受治疗的患者共有22例（29只眼），治愈10例（12只眼）；好转7例（10只眼），总有效率为79．3％。结论：糖尿病性视神经病变的及时正确诊断、系统的综合治疗，可有效提高视力，扩大视野。

A Study on Treatment of Diabetic Optic Neuropathy with Integrated Therapy

Objective： To study the clinical experience of Diabetic optic neuropathy （DON）and provide references for the diagnosis and treatment of it. Methods： Clinical features of 29 eyes of 22 cases with DON were analyzed retrospectively, the blood glucose was controlled strictly, the compound anisodine hypodermic injection was applied near the superficial temporal artery, blood circulation drugs were taken orally or intravenous injected, and nutrition optic drugs such as vitaminB 1, vitaminB2 and inosine tablets etc were also taken. At the same time, the patients were given systemic examination, including the treatment of the whole body. The characteristics of fluorescence fimdus angiography, visual evoke potential （VEP） and visual field before and after treatment were observed. Results： 12 eyes of 10 eases were cured, and 10 eyes of 7 eases improved among them, the total effective rate was 79.3%. Conclusion： Correct diagnosis and integrated therapy in time can improve the vision and visual field of DON.