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目的 观察尼莫通 (Nimotop)及高压氧治疗外伤性视神经损伤的疗效 ,探索治疗外伤性视神经损伤新的有效方法。方法 将脑外伤合并视神经损伤 63例 (71眼 )随机分成 3组 ,分别采用常规治疗 ;常规治疗加尼莫通 ;高压氧联合尼莫通 3种方法进行治疗 ,观察视力恢复程度 ,判断疗效。结果 尼莫通组和高压氧联合尼莫通治疗组视功能恢复的总有效率分别为82 .61%和 91.67% ,常规治疗组有效率为 45 .83 %。尼莫通组和高压氧联合尼莫通治疗组分别与常规治疗组差异均有显著意义 (P <0 .0 5 )。结论 尼莫通或高压氧联合尼莫通治疗外伤性视神经损伤有良好疗效。
Objective To observe the curative effect of Nimotop and hyperbaric oxygen on traumatic optic nerve injury and explore new and effective methods for the treatment of traumatic optic nerve injury. Methods Sixty-three eyes (71 eyes) with traumatic brain injury and optic nerve injury were randomly divided into three groups. The patients were treated with routine therapy, routine treatment of ganimotom and hyperbaric oxygen combined with nimotop, and the degree of visual acuity recovery was observed. Results The total effective rates of nimotop group and hyperbaric oxygen combined with nimotop in the treatment group were 82.61% and 91.67%, respectively. The effective rate of the conventional treatment group was 45.83%. There was significant difference between nimotop group and hyperbaric oxygen combined with nimotop group (P <0.05). Conclusion Nimotop or hyperbaric oxygen combined with nimotong has good curative effect on traumatic optic nerve injury.