Vaksvik T, Røkkum M, Holm I
a Division of Orthopaedic Surgery, Section of Rehabilitation , Oslo University Hospital , Oslo , Norway.
b Division of Orthopaedic Surgery , Oslo University Hospital , Oslo , Norway.
J Plast Surg Hand Surg. 2018 Dec;52(6):363-366. doi: 10.1080/2000656X.2018.1520124. Epub 2018 Oct 5.
We studied changes in cold hypersensitivity from 3 to 7 years following severe hand injuries. Data was collected using postal questionnaires 7 years after injury in 71 patients who had participated in a 3-year follow-up from the time of injury. There was no change in cold sensitivity measured using the McCabe Cold Sensitivity Severity scale (CSS) from 3 to 7 years after injury. However, there was a trend toward decreased severity measured using a five-level scale of self-reported cold hypersensitivity. Compared to the 3-year follow-up, fewer respondents rated their condition as severe and two patients had recovered from their cold hypersensitivity at the 7-year follow-up. Furthermore, 21 (30%) of the respondents stated a decrease in cold hypersensitivity during the last 2 years. Limitations in cold associated activities and the importance of being less limited in leisure activities (NRS 0-10) did not change between the two follow-ups. In conclusion, the CSS-scores did not change from 3 to 7 years after injury. Several patients experienced improvements in cold hypersensitivity, but few recovered completely from the condition.
我们研究了严重手部损伤后3至7年冷超敏反应的变化。在71名从受伤时起参与了为期3年随访的患者受伤7年后，通过邮寄问卷收集数据。使用麦凯布冷敏感严重程度量表（CSS）测量，受伤后3至7年冷敏感性没有变化。然而，使用自我报告的冷超敏反应五级量表测量，严重程度有降低的趋势。与3年随访相比，在7年随访时，将自身状况评为严重的受访者减少，两名患者已从冷超敏反应中恢复。此外，21名（30%）受访者表示在过去两年中冷超敏反应有所减轻。两次随访之间，与寒冷相关活动的受限情况以及在休闲活动中受限更少的重要性（数字评定量表0 - 10）没有变化。总之，受伤后3至7年CSS评分没有变化。一些患者的冷超敏反应有所改善，但很少有人完全康复。
