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

摘要

Objective To summarize the development and treatment for complex regional pain syndrome (CRPS) type I only involving 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.%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.