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 ınjury, 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.

中文翻译：

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脑卒中后复杂的区域性疼痛综合症及相关因素：第三级康复中心的经验。

目的

本研究旨在确定卒中后与CRPS相关的危险因素以及患者和用于CPRS的治疗药物的临床参数

方法

回顾性设计本研究，包括在第1组中确诊的213例CRPS偏瘫患者和在第2组（对照组）中的213例未见CRPS的偏瘫患者。从患者档案中记录患者的人口统计学数据，Brunnstrom分期，改良的Ashworth量表，Barthel指数。与CRPS相关的危险因素，例如肩关节半脱位，黏膜囊膜炎，骨折，深静脉血栓形成，痉挛，疏忽，视野缺损，异位骨化，包裹神经病，臂丛神经损伤，压力伤口，下呼吸道感染（LRTI），尿路感染，癫痫和抑郁症受到质疑。此外，还记录了所使用的临床发现，药物治疗和物理治疗药物。

结果

参与者的平均年龄在第1组为67.9±10.3，在第2组为66.1±9.9。根据多因素logistic回归分析，偏瘫持续时间，住院时间，肩关节半脱位，软组织病变，粘连肩炎，痉挛，神经病，臂丛神经损伤，蛋白质能量营养不良，LRTI，尿路感染，抑郁症，冠状动脉疾病均显着增加了CRPS的发生（p<0.05）。作为临床参数，水肿出现在95.3％的患者中，而营养改变最低的是1.9％。尽管所有理疗患者均接受了感官教育，但神经节阻滞是最低的，占0.9％。在医学上，口服对乙酰氨基酚的使用率为28.2％，而加巴喷丁的使用为最后一次，为8.9％。

结论

在我们的研究中，显示了偏瘫后CRPS的危险因素，与其治疗，诊断和预防一样重要。