Interventional treatment of swelling hand syndrome / 实用放射学杂志

Objective To analyze the effect of interventional treatment in patients with swelling hand syndrome.Methods 100 patients with maintained hemodialysis were enrolled in this study (49 male,51 female).Upper limb swelling involved the dialysis was examined with a course of 1 week to 36 months.Before intervention treatment,stenosis or occlusion of the brachiocephalic vein or subclavian vein were found in 95 patients diagnosed by CTA.Angiography was performed through the affected side of the upper limb.Then a balloon pre-dilatation of the stenosis or occlusion was performed,followed by balloon dilatation or stent molding treatment through the femoral vein.Results Percutaneous transluminal angioplasty or stent angioplasty was performed in 87 patients without severe complications,while treatment was failed in 13 cases.Swelling was gone in 85 patients 2-5 days after surgery,and persistent symptom was observed in 2 cases.All the 87 patients were followed up from 2 to 46 months after interventional treatment,one patient died of cancer after 14 months.Relapsed symptom of swelling hands was found in 20 patients and interventional therapy was performed again.Conclusion Swelling hand syndrome is common in maintained hemodialysis patients due to the stenosis or occlusion of central vein involved the dialysis side.Interventional treatment is a safe and effective procedure.

Penetration acupuncture at Baxie(EX-UE 9) combined with rehabilitation for swelling hand of post-stroke shoulder-hand syndrome / 中国针灸

<p><b>OBJECTIVE</b>To compare the effects between penetration acupuncture at Baxie (EX-UE 9) combined with rehabilitation and simple rehabilitation for swelling hand in post-stroke shoulder-hand syndrome.</p><p><b>METHODS</b>Sixty patients were randomly assigned into an observation group and a control group,30 cases in each one. Penetration acupuncture at Baxie (EX-UE 9) combined with rehabilitation were used in the observation group,and the acupoints were the affected Baxie (EX-UE 9) and Wailaogong (EX-UE 8). Simple rehabilitation was used in the control group. All the treatment was given for 3 weeks,5 days a week with 2 days at the interval,once a day. The swelling degree and motor function of the affected hand were assessed before and after treatment in the two groups. Also,the effects were compared.</p><p><b>RESULTS</b>The swelling and motor function scores after treatment were improved compared with those before treatment in the two groups(all<0.01),with better effects in the observation group(both<0.01). The total effective rate was 93.3%(28/30) in the observation group,which was better than 73.3%(22/30) in the control group(<0.01).</p><p><b>CONCLUSIONS</b>Penetration acupuncture at Baxie (EX-UE 9) combined with rehabilitation can effectively and timely alleviate the swelling hand and motor function of post-stroke shoulder-hand syndrome,which are better than simple rehabilitation.</p>

Effect of early rehabilitation training on hemiplegia swelling hand of stroke patients / 中国康复理论与实践

@#ObjectiveTo observe effects of early rehabilitation training on hemiplegia swelling hand of stroke patients.Methods22 stroke patients with hemiplegia were randomly divided into rehabilitation group (treatment group) and conventional medicine treatment group (control group). Patients in the treatment group got rehabilitation training while took routine medicine, and patients in the control group just took routine medicine. Efficacy was evaluated by measuring volume, joint movement of swelling hand and by STEF scores.ResultsCompared with control group, the volume of hemiplegia swelling hand reduced significantly, finger palm joint kept better activity in treatment group. STEF scores indicated that movement function of upper limb and daily living of patients in treatment group were markedly improved (P<0.01).ConclusionEarly rehabilitation of hemiplegia swelling hand is very important for limb recovery of hemiplegia patients.