《中国康复理论与实践》

《中国康复理论与实践》

• 临床观察 • 上一篇    下一篇

POEMS综合征临床特点及后遗症期康复疗效分析：2 例报道①

张心怡1，胡雪艳2,3a，何静杰2,3a，杜晓霞2,3b，徐莹2,3b   

  1. 1. 河北省南皮县人民医院，河北沧州市061500；2. 首都医科大学康复医学院，北京市100068；3. 中国康复研究中心北京博爱医院，a. 神经康复一科；b. 神经康复二科，北京市100068。
  • 出版日期:2016-08-25 发布日期:2016-09-22

Clinical Features of POEMS Syndrome and Effect of Rehabilitation during Sequelae Period: Two Cases Report

ZHANG Xin-yi1, HU Xue-yan2,3, HE Jing-jie2,3, DU Xiao-xia2,3, XU Ying2,3   

  1. 1. The People's Hospital of Nanpi County, Cangzhou, Hebei 061500, China; 2. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 3. Department of Neurological Rehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Medicine, Beijing 100068, China
  • Published:2016-08-25 Online:2016-09-22

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摘要： 目的观察POEMS综合征后遗症期的康复疗效。方法对2 例以多发性周围神经损伤为主要表现的POEMS综合征患者，进行物理疗法、作业疗法、针灸、表面肌电生物反馈等综合康复治疗。结果康复治疗后患者肌力、躯干平衡、站立平衡能力、日常生活活动能力有所提高。其中，第1 例患者Berg 平衡量表得分由18 分增加到28 分，第2 例患者改良Bathel 指数由55 分提高到70 分。结论综合康复治疗可改善POEMS综合征后遗症期患者的功能，表面肌电生物反馈在POEMS综合征后遗症期的康复治疗中起重要作用。

关键词: POEMS综合征, 康复, 周围神经损害, 生物反馈

Abstract: Objective To observe the effect of comprehensive rehabilitation on POEMS syndrome during sequel period. Methods Two cases of POEMS syndrome with multiple peripheral nerve injury as the main manifestation received physical therapy, occupational therapy, acupuncture, surface electromyography biofeedback and other comprehensive rehabilitation treatment. Results After treatment, the muscle strength, trunk balance, standing balance ability, activities of daily living (ADL) improved. The score of Berg Balance Scale increased from 18 to 28 in the first case, the modified Bathel Index increased from 55 to 70 in the second case. Conclusion Comprehensive rehabilitation can improve the function of patients with POEMS syndrome during sequel period, and surface electromyography biofeedback plays an important role.

Key words: POEMS syndrome, rehabilitation, peripheral nerve injury, biofeedback