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

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.