综合治疗仅累及腕手部的脑卒中后复杂性区域疼痛综合征1例报道

doi:10.3969/j.issn.1006-9771.2019.01.013

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (1): 97-100.doi: 10.3969/j.issn.1006-9771.2019.01.013

综合治疗仅累及腕手部的脑卒中后复杂性区域疼痛综合征1例报道

金丽霞, 王瑜元, 华艳, 孙莉敏, 白玉龙

复旦大学附属华山医院康复医学科,上海市 200040

收稿日期:2018-07-26 修回日期:2018-08-17 出版日期:2019-01-25 发布日期:2019-02-18
通讯作者: 白玉龙,博士,主任医师,博士生导师,主要研究方向：神经损伤和运动伤病的康复。E-mail: dr_baiyl@fudan.edu.cn
作者简介:金丽霞(1991-),女,汉族,上海市人,博士,医师,主要研究方向：骨科康复和运动伤病康复。
基金资助:
上海市科学技术委员会科研项目(No. 15441900803; No. 17511107802)

Therapy of Complex Regional Pain Syndrome on Single Hand post Stroke: Case Report

JIN Li-xia, WANG Yu-yuan, HUA Yan, SUN Li-min, BAI Yu-long

Department of Rehabilitation, Huashan Hospital Affiliated to Fudan University, Shanghai, 200040, China

Received:2018-07-26 Revised:2018-08-17 Published:2019-01-25 Online:2019-02-18
Contact: BAI Yu-long. E-mail: dr_baiyl@fudan.edu.cn
Supported by:
Shanghai Science and Technology Committee Research Program (No. 15441900803; No. 17511107802)

摘要/Abstract

摘要： 目的总结脑卒中后仅累及腕手部的Ⅰ型复杂性区域疼痛综合征(CRPS)患者的发生、发展及治疗过程。
方法对1 例患者采用综合训练方法治疗6 周。治疗前后采用疼痛视觉模拟评分(VAS)、手体积和手指周径测量、腕和手指被动关节活动度测量和改良Barthel 指数进行评价。
结果治疗后,患手VAS 评分、手体积和手指周径减少,关节活动度改善,改良Barthel 指数评分提高。
结论脑卒中后Ⅰ型CRPS 可仅累及腕手部,综合治疗后可达到满意的效果。

关键词: 脑卒中, 复杂性区域疼痛综合征, 康复

Abstract: Objective To summarize the development and treatment for complex regional pain syndrome (CRPS) type I only involv-ing hand after stroke.
Methods One patient accepted comprehensive rehabilitation for six weeks. He was assessed with Visual Analogue Scale (VAS) of pain and modified Barthel Index, his hand volume and fingers circumference, and passive range of motion (PROM) of fingers and wrist was measured, before and after treatment.
Results The score of VAS, and the hand volume and the fingers circumference decreased, while PROM and the score of modified Barthel Index increased after treatment.
Conclusion Post-stroke CRPS type I can only affect the wrist and hand. Comprehensive rehabilitation may improve the function and activities of daily living.

Key words: stroke, complex regional pain syndrome, rehabilitation

中图分类号:

R743.3

金丽霞, 王瑜元, 华艳, 孙莉敏, 白玉龙. 综合治疗仅累及腕手部的脑卒中后复杂性区域疼痛综合征1例报道[J]. 《中国康复理论与实践》, 2019, 25(1): 97-100.

JIN Li-xia, WANG Yu-yuan, HUA Yan, SUN Li-min, BAI Yu-long. Therapy of Complex Regional Pain Syndrome on Single Hand post Stroke: Case Report[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(1): 97-100.

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综合治疗仅累及腕手部的脑卒中后复杂性区域疼痛综合征1例报道

Therapy of Complex Regional Pain Syndrome on Single Hand post Stroke: Case Report

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