手法淋巴引流治疗脑卒中后肩手综合征的研究进展  

Progress of manual lymphatic drainage in the treatment of shoulder-hand syndrome after stroke

作　　者：郑雅文 谭波涛[1] 虞乐华[1] ZHENG Yawen;TAN Botao;YU Lehua(Department of Rehabilitation,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第二医院康复医学科,重庆400010

出　　处：《上海医药》2022年第23期11-16,共6页Shanghai Medical & Pharmaceutical Journal

基　　金：重庆市卫生适宜技术推广项目(2021jstg029);重庆医科大学附属第二医院“宽仁英才”项目。

摘　　要：肩手综合征是导致脑卒中后患者上肢功能无法得到较好康复的最常见并发症。国际上,肩手综合征也被称为反射性交感神经营养不良,属于Ⅰ型复杂区域性疼痛综合征。近年研究显示,以手法淋巴引流为基础的康复治疗对肩手综合征有良好的效果。本文以肩手综合征患者淋巴循环障碍为切入点,讨论手法淋巴引流在肩手综合征治疗中的应用及相关机制。Shoulder-hand syndrome(SHS)is a common complication that hinders the rehabilitation of upper limb function in stroke patients.Internationally,SHS,also known as reflex sympathetic dystrophy,belongs to complex regional pain syndrome typeⅠ.In recent years,rehabilitation strategies based on manual lymphatic drainage(MLD)have shown good results in the treatment of SHS.This article intends to discuss the application and related mechanism of MLD in patients with SHS using lymphatic circulation disorder of SHS as the starting point.

关 键 词：脑卒中 肩手综合征 淋巴引流 康复治疗 

分 类 号：R493[医药卫生—康复医学] R747.9[医药卫生—临床医学]