高压氧疗法治疗复杂性区域疼痛综合征的有效性。

Effectiveness of hyperbaric oxygen therapy in the treatment of complex regional pain syndrome.

作者信息

Kiralp M Z, Yildiz S, Vural D, Keskin I, Ay H, Dursun H

机构信息

Department of Physical Therapy and Rehabilitation, Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey.

出版信息

J Int Med Res. 2004 May-Jun;32(3):258-62. doi: 10.1177/147323000403200304.

DOI:10.1177/147323000403200304

PMID:15174218

Abstract

In this double-blind, randomized, placebo-controlled study we aimed to assess the effectiveness of hyperbaric oxygen (HBO) therapy for treating patients with complex regional pain syndrome (CRPS). Of the 71 patients, 37 were allocated to the HBO group and 34 to the control (normal air) group. Both groups received 15 therapy sessions in a hyperbaric chamber. Pain, oedema and range of motion (ROM) of the wrist were evaluated before treatment, after the 15th treatment session and on day 45. In the HBO group there was a significant decrease in pain and oedema and a significant increase in the ROM of the wrist. When we compared the two groups, the HBO group had significantly better results with the exception of wrist extension. In conclusion, HBO is an effective and well-tolerated method for decreasing pain and oedema and increasing the ROM in patients with CRPS.

摘要

在这项双盲、随机、安慰剂对照研究中，我们旨在评估高压氧（HBO）疗法治疗复杂性区域疼痛综合征（CRPS）患者的有效性。71例患者中，37例被分配到HBO组，34例被分配到对照组（常压空气）。两组均在高压舱内接受15次治疗。在治疗前、第15次治疗后和第45天评估手腕的疼痛、水肿和活动范围（ROM）。HBO组的疼痛和水肿明显减轻，手腕的ROM明显增加。当我们比较两组时，除手腕伸展外，HBO组的效果明显更好。总之，HBO是一种有效且耐受性良好的方法，可减轻CRPS患者的疼痛和水肿，并增加ROM。