目的:观察甲钴胺联合复方血栓及维生素B1通治疗糖尿病性眼肌麻痹的临床疗效。方法:收集近4a来我院就诊的糖尿病性眼肌麻痹患者64例,在控制原发病基础上口服甲钴胺联合复方血栓通及维生素B1治疗糖尿病性眼肌麻痹,并设立复方血栓通联合维生素B1治疗为对照组。结果:两组患者在良好控制血糖的情况下,眼科治疗2～16wk后症状及体征均有不同程度的减轻及消失;治疗3mo后,甲钴胺组治愈率优于对照组。结论:在控制血糖的情况下,甲钴胺联合维生素B1及复方血栓通治疗糖尿病性眼肌麻痹安全有效。

AIM:To observe clinical effect of Methycobal combined with Fufang Xueshuantong capsule and Vitaminum B1 in treatment on diabetic ophthalmoplegia.METHODS:In recent four years,64 cases were asked to take orally Methycobal combined with Fufang Xueshuantong capsule and VitaminumB1 in treatment of diabetic ophthalmoplegia on foundation of treatment on diabetes.Fufang Xueshuantong capsule and VitaminumB1 treatment were established as control group.RESULTS:After 2-16 weeks of treatment,symptoms of two groups disappeared or relieved inordinately.After 3 months of treatment,the efficacies of treatment with Methycobal combined with Fufang Xueshuantong capsule and VitaminumB1 were superior to the control group.CONCLUSION:Methycobal combined with Fufang Xueshuantong capsule and VitaminumB1 is effective and safe in the treatment for acute diabetic ophthalmoplegia.

R587.2