Zyluk A
Kliniki Chirurgii Ogólnej i Chirurgii Reki Pomorskiej Akademii Medycznej, Szczecinie.
Wiad Lek. 1998;51(3-4):173-8.
It is suspected that some faults in the course of the treatment of traumas such as: reduction of fractures without sufficient anaesthesia, repeated reductions, tightness of casts, immobilization of fingers, ignoring patients' complaints of the pain and swelling about or painful rehabilitation may have effect on the development of the post-traumatic reflex sympathetic dystrophy. These opinions have not been confirmed by clinical trials. The incidence of above mentioned factors was analysed retrospectively in 165 patients with post-traumatic reflex sympathetic dystrophy within upper extremity and in 86 patients following fracture of distal radius without features of the condition (control group). It was found that the patients with reflex sympathetic dystrophy significantly more frequently complained of pain and swelling in the course of the treatment of trauma in the cast and they were subjected more frequently to painful rehabilitation after removing the cast. These factors appeared to have an effect on developing the reflex sympathetic dystrophy (comparing with the control group). The role of remaining factors that are often considered as significant in the development of reflex sympathetic dystrophy--painful and repeated reductions of fractures as well as immobilization of fingers-was not confirmed.
有人怀疑，在创伤治疗过程中存在一些失误，如：在没有充分麻醉的情况下进行骨折复位、反复复位、石膏过紧、手指固定、忽视患者关于疼痛和肿胀的主诉或痛苦的康复治疗，可能会对创伤后反射性交感神经营养不良的发展产生影响。这些观点尚未得到临床试验的证实。对165例上肢创伤后反射性交感神经营养不良患者和86例无该病症特征的桡骨远端骨折患者（对照组）进行回顾性分析，以分析上述因素的发生率。结果发现，反射性交感神经营养不良患者在石膏固定创伤治疗过程中明显更频繁地抱怨疼痛和肿胀，并且在拆除石膏后更频繁地接受痛苦的康复治疗。与对照组相比，这些因素似乎对反射性交感神经营养不良的发展有影响。而其他一些常被认为在反射性交感神经营养不良发展中起重要作用的因素，如骨折的疼痛性和反复复位以及手指固定，其作用并未得到证实。
