糖皮质激素治疗特发性视神经炎是否
糖皮质激素治疗特发性视神经炎是否有效张秀兰王伟魏世辉
[摘要]糖皮质激素(以下简称激素)是治疗重要神经眼科疾病的主要措施之一。然而长期以来,激素治疗特发性视神经炎是否有效一直是争论的焦点。笔者认为应权衡利弊,结合患者的视功能、MRI等检查情况给出个体化的治疗
方案
气瓶 现场处置方案 .pdf气瓶 现场处置方案 .doc见习基地管理方案.doc关于群访事件的化解方案建筑工地扬尘治理专项方案下载
,对于类似美国视神经炎治疗试验中特发性视神经炎的患者应采用其推荐方案。不建议局部注射治疗。目前激素应用仍有许多临床问题尚待解决,也缺乏足够的证据用于参考,亟待国内开展有关激素治疗神经眼科疾病规范化的多中心、随机临床试验,并出版规范的临床诊治指南或共识。
视神经炎; 糖皮质激素类
Is it efficacy for the treatment of idiopathic optic neuritis with glucocorticosteroid ZHANG Xiu-lan
EI Shi-hui ZWANG Wei Whongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun
Yat-sen University, Guangzhou 510060, China
[ Abstract] Glucocorticosteroid (steroid) therapy is the major treatment for some important neuroophthalmological diseases. However, its efficacy, safety and abuse raise great controversy and debate for a long time, many clinical problems also remain to be solved. This paper discusses the issues relevant to the treatment of idiopathic optic neuritis by steroid and strongly advocate carrying out an evidence-based multicenter randomized clinical trial in China. It is suggested to establish a standard guideline or consensus for the treatment of neuro-ophthalmological diseases with steroid.
Optic neuritis; Glucocorticoids
10. 3760/cma. j. issn. 0412-4081. 2011.12. 003
510060 广州,中山大学中山眼科中心眼科学国家
重点实验室(张秀兰、王伟)解放军总医院眼科(魏世辉)
访医师
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