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目的探讨糖皮质激素在2型糖尿病并动眼神经麻痹患者中的应用。方法对我院25例2型糖尿病并动眼神经麻痹患者的病史、临床表现、实验室检查及治疗进行总结分析。结果 18例患者给予地塞米松静脉注射后改口服,15例动眼神经麻痹完全恢复,7例未予以糖皮质激素治疗,只有2例恢复。结论对2型糖尿病并动眼神经麻痹患者在血糖控制良好情况下,糖皮质激素是治疗此病有效的药物。
Objective To investigate the application of glucocorticoids in type 2 diabetic patients with oculomotor nerve paralysis. Methods 25 cases of type 2 diabetes mellitus and oculomotor nerve paralysis in our hospital history, clinical manifestations, laboratory tests and treatment were analyzed. Results 18 patients were given dexamethasone intravenously after oral administration, 15 cases of oculomotor nerve paralysis completely restored, 7 patients without glucocorticoid therapy, only 2 cases recovered. Conclusions Glucocorticoids are effective drugs for the treatment of type 2 diabetes mellitus and oculomotor nerve palsy in patients with good glycemic control.