Pathogenesis and rehabilitation treatment of shoulder-hand syndrome after cerebral stroke
脑卒中后肩手综合征的发病机理及康复治疗

摘要

脑卒中是生活中常见的急性脑血管病，多年来致残率和致死率居高不下，严重影响着患者的身心健康和生活质量。常导致患者患肢不能正常运动，也可伴有肩部疼痛、皮温升高，同侧手腕、指肿痛，肩关节范围逐渐减小，手屈受限、疼痛，腕关节出现骨质疏松等，甚至生活不能自理，患者的生活质量受到极大影响，不仅影响患者的康复治疗进度，而且还在摧残患者的心理健康。因此，肩手综合征是脑卒中最常见的后遗症。临床上有多种康复治疗方法，中西医结合疗法在脑卒中后肩手综合征的治疗中已经展现出良好的临床应用价值，但其最优联合方案仍处于进一步探索与完善阶段。

Abstract

Cerebral stroke is a common acute cerebrovascular disease in daily life. Over the years, its disability rate and mortality rate have remained high, seriously affecting the physical and mental health and quality of life of patients. It often leads to the inability of the affected limb to move normally, accompanied by shoulder pain, increased skin temperature, swelling and pain in the same-side wrist and fingers, gradual reduction in the range of the shoulder joint, limited hand flexion, pain, and osteoporosis in the wrist joint, and even inability to take care of oneself. The quality of life of patients is greatly affected, not only affecting the progress of rehabilitation treatment, but also destroying the mental health of patients. Therefore, shoulder-hand syndrome is the most common sequelae after cerebral stroke. There are various rehabilitation treatment methods in clinical practice. Before rehabilitation treatment, a systematic assessment of the condition must be conducted, and accurate condition assessment is an indispensable part of rehabilitation treatment, so as to provide targeted treatment plans for patients. Some patients may have poor treatment effects due to unclear diagnosis of the condition, resulting in poor clinical efficacy. Currently, the combination of traditional Chinese and Western medicine therapy has shown good clinical application value in the treatment of shoulder-hand syndrome after cerebral stroke, but the optimal combination scheme is still in the stage of further exploration and improvement.