改良的综合消肿疗法对手外伤后并发难治性CRPS的临床疗效观察  

Clinical observation of modified comprehensive decongestion therapy for refractory CRPS after hand trauma

作　　者：屈萌艰 伍琦[1] 龙黎萍 廖瑛[1] 孙光华[1] 廖源[1] 王亚琳 宁雅丹 QU Meng-jian;WU Qi;LONG Li-ping(Department of Rehabilitation,The First Affiliated Hospital of University of South China,Hengyang 421001)

机构地区：[1]南华大学附属第一医院,湖南衡阳421001

出　　处：《中国伤残医学》2020年第16期7-11,共5页Chinese Journal of Trauma and Disability Medicine

基　　金：2019年湖南省自然科学基金青年基金项目(S2019JJ50536)。

摘　　要：目的:探讨改良的综合消肿疗法(CDT)对手外伤后并发难治性复杂性区域性疼痛综合征(CRPS)的疗效影响。方法:分析10例手外伤后并发难治性CRPS的病例,经改良的CDT治疗2个疗程(20次),采用周径测量评估患肢肿胀,视觉模拟疼痛评分(VAS)评估疼痛、采用中华医学会手外科学会上肢部分功能评定适用标准评估手功能。结果:治疗后10例患者的肢体周径、VAS评分较治疗前显著下降(P<0.01),手功能评分较前明显提高(P<0.01),差异有统计学意义。10例患者疼痛缓解率(VAS)均≥50%,治疗后无不良反应。结论:改良的CDT能够安全、有效地减轻手外伤后并发难治性CRPS患者疼痛和肿胀症状,改善患者手功能。Objective:To investigate the effect of Modified Comprehensive Decongestive Therapy(CDT)on the treatment of refractory Complex Regional Pain Syndrome(CRPS)after traumatic injury.Methods:10 cases of refractory CRPS after hand trauma were analyzed and treated with Modified CDT for 2 courses(20 times).The circumference of the limb was used to evaluate the swelling of the affected limb,Visual Analog Scale for Pain(VAS)was used to evaluate the pain,and the upper extremity function evaluation standard of the Hand Surgery Society of Chinese Medical Association was used to evaluate the patients'ability of doing daily living activities(ADLs).Results:After treatment,the limb circumference and VAS score of 10 patients decreased significantly(P<0.01),and the ADL score increased significantly(P=0.000).The difference was statistically significant.The pain relief rate(VAS)of all the 10 patients was≥50%,and there were no adverse reactions after treatment.Conclusion:Modified CDT could safely and effectively alleviate pain and swelling in patients with CRPS after hand trauma and improve their daily living ability.

关 键 词：复杂性区域性疼痛综合征 综合消肿疗法 手外伤 

分 类 号：R493[医药卫生—康复医学]