Subbarao J, Stillwell G K
Arch Phys Med Rehabil. 1981 Nov;62(11):549-54.
Case histories of 125 patients with reflex sympathetic dystrophy syndrome of the upper extremity seen from July 1973 to March 1976 were reviewed. There was a 2.9:1 female preponderance. Twenty-four patients had documented litigation pending; however, it did not alter the final outcome significantly. On medical records, progress was noted for 86 patients with 16% having excellent results, 35% good, 26% satisfactory, 6% fair and 17% poor (all subjective evaluations by treating physicians). Median duration of follow-up prior to this study was approximately 2.5 months. Median duration between last clinic visit and follow-up study was 14.5 months. Follow-up letters sent to 123 patients who were believed to be alive showed that 4 patients had died; 77 (63%) replied. The majority of patients (53/77) reported that they still had pain in the shoulder/or hand, but 68% were taking no medications and only 15.3% (12) were taking narcotics. Twenty-eight patients (36%) claimed they were continuing physical therapy at home. Twenty-four (31%) retired or did not go back to the same work. Thirty-five percent were officially disabled, 30% were back at their same jobs and 29/59 female patients (49%) were able to do all the housework. Eighteen patients (23%) were able to return to 100% daily activity, 23 patients (30%) to 75% activity. Eleven patients (14%) had modified their activities considerably and were not able to do well.
回顾了1973年7月至1976年3月间收治的125例上肢反射性交感神经营养不良综合征患者的病历。女性患者居多，男女比例为2.9:1。有24例患者有未决诉讼记录；然而，这并未显著改变最终结果。根据病历记录，86例患者有病情进展，其中16%效果极佳，35%良好，26%满意，6%尚可，17%差（均为经治医生的主观评估）。本研究之前的中位随访时间约为2.5个月。上次门诊就诊至随访研究的中位时间为14.5个月。给123名被认为仍在世的患者寄发了随访信，结果显示4例患者已死亡；77例（63%）进行了回复。大多数患者（53/77）报告称肩部或手部仍有疼痛，但68%未服用任何药物，仅15.3%（12例）服用麻醉药品。28例患者（36%）称他们仍在家中继续进行物理治疗。24例（31%）退休或未重返原工作岗位。35%的患者被正式认定为残疾，30%的患者重返原工作岗位，29名女性患者中有29/59（49%）能够完成所有家务。18例患者（23%）能够恢复到100%的日常活动量，23例患者（30%）恢复到75%的活动量。11例患者（14%）的活动量大幅减少，状态不佳。
