...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Post-stroke complex regional pain syndrome and related factors: Experiences from a tertiary rehabilitation center
【24h】

Post-stroke complex regional pain syndrome and related factors: Experiences from a tertiary rehabilitation center

机译：中风后复杂的区域疼痛综合征及相关因素：第三节康复中心的经验

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: In this study, it is aimed to determine the risk factors associated with CRPS after stroke and the clinical parameters of the patients and the treatment agents used for CPRS Method: 213 hemiplegic patients with CRPS diagnosed in Group 1 and 213 hemiplegic patients without CRPS in group 2 (control group) were included in the study designed retrospectively. Demographic data of the patients, Brunnstrom stage, Modified Ashworth scale, Barthel index were recorded from patients files. Associated risk faktors with CRPS such as Shoulder subluxation, adhesive capsulitis, fracture, deep vein thrombosis, spasticity, neglect, visual field defect, heterotopic ossification, entrapment neuropathies, brachial plexus damage, pressure wound, lower respiratory tract infection (LRTI), urinary tract infection, epilepsy, and depression were questioned. In addition, clinical findings, medical treatments, and physical therapy agents used were recorded. Results: The average age of the participants was 67.9 +/- 10.3 in group 1 and 66.1 +/- 9.9 in group 2. According to the multivariate logistic regression analysis, the presence of the duration of hemiplegi, the duration of hospitalization, shoulder subluxation, soft tissue lesion, adhesive capsulitis, spasticity, entrapment neuropathy, brachial plexus injury, protein energy malnutrition, LRTI, urinary infection, depression, coronary artery disease were significantly increased the development of CRPS (p<0.05). As a clinical parameter, edema was present in 95.3% of the patients, while trophic change was the lowest in 1.9%. While sensory reeducation was used in all patients in physical therapy, ganglion blockade was the lowest with 0.9% of patients. In medical treatment, the use of oral paracetamol was 28.2%, while the use of gabapentin was the last with 8.9%. Conclusions: In our study, the risk factors of CRPS after hemiplegia, which are as important as its treatment, as well as its diagnosis and prevention, are shown. (c) 2020 Elsevier Inc. All rights reserved.
机译：目的：本研究旨在确定脑卒中后CRPS的相关危险因素、患者的临床参数以及用于CPRS的治疗药物。方法：回顾性设计的研究包括第1组213例确诊为CRPS的偏瘫患者和第2组213例无CRPS的偏瘫患者（对照组）。从患者档案中记录患者的人口学数据、Brunnstrom分期、改良Ashworth量表、Barthel指数。对与CRP相关的风险因素，如肩关节半脱位、粘连性关节囊炎、骨折、深静脉血栓形成、痉挛、忽视、视野缺损、异位骨化、夹压性神经病变、臂丛损伤、压力伤、下呼吸道感染（LRTI）、尿路感染、癫痫和抑郁症进行了质疑。此外，还记录了临床发现、药物治疗和使用的物理治疗药物。结果：第一组参与者的平均年龄为67.9+/-10.3岁，第二组参与者的平均年龄为66.1+/-9.9岁。根据多元逻辑回归分析，偏瘫持续时间、住院时间、肩关节半脱位、软组织损伤、粘连性关节炎、痉挛、卡压性神经病、臂丛神经损伤、蛋白质能量营养不良、LRTI、尿路感染、抑郁、，冠心病患者CRPS的发生明显增加（p<0.05）。作为一项临床参数，95.3%的患者出现水肿，而营养变化最低，仅为1.9%。虽然所有患者在物理治疗中都使用了感觉再教育，但神经节阻滞率最低，为0.9%。在医疗方面，口服扑热息痛的使用率为28.2%，而加巴喷丁的使用率为8.9%。结论：在我们的研究中，偏瘫后CRPS的危险因素与治疗、诊断和预防一样重要。（c） 2020爱思唯尔公司版权所有。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号