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目的:探讨老年糖尿病性眼肌麻痹的临床表现、治疗效果及发病机制。方法:对18例老年糖尿病患者给予降糖治疗,合并高血压和/或高血脂者给予调控血压及血脂,同时肌肉注射维生素B1、B12,并口服血管扩张剂。结果:治疗3～10周后患者眼球活动均正常,复视消失。结论:老年糖尿病患者并发眼肌麻痹主要表现为复视及上睑下垂,经控制血糖及其他对症支持治疗后效果良好;发病与代谢紊乱、血管因素、神经脱髓鞘等有关。
Objective: To investigate the clinical manifestations, therapeutic effects and pathogenesis of elderly diabetic ophthalmoplegia. Methods: Eighteen cases of elderly diabetic patients were given hypoglycemic treatment. Those with hypertension and / or hyperlipidemia were given blood pressure and blood lipid control. At the same time, vitamins B1 and B12 were intramuscularly injected and oral vasodilators were administered. Results: After 3 to 10 weeks of treatment, the patients’ ocular activities were normal and diplopia disappeared. Conclusion: The main manifestations of ophthalmoplegia in elderly diabetic patients are diplopia and ptosis, and the effect is good after the control of blood sugar and other symptomatic and supportive care. The pathogenesis is related to metabolic disorders, vascular factors and demyelination of nerves.