星状神经节联合腕管阻滞治疗脑卒中后肩手综合征1例病例报告

A Case Report of Stellate Ganglion Combined with Carpal Tunnel Block in the Treatment of Should-Hand Syndrome after Stroke

摘要: 目的：观察星状神经节联合腕管阻滞治疗肩手综合征的疗效。方法：1例肩手综合征患者，其有肩痛/手部水肿等不适，给予星状神经节阻滞和腕管阻滞，观察治疗后当时、治疗后2周、治疗后4周、治疗后12周VAS疼痛评分、腕管周径以及腕背伸ROM。结果：患者疼痛明显减轻，手部水肿减轻，腕背伸稍有力。结论：星状神经节联合腕管阻滞对肩手综合征有明显效果，改善睡眠，且可以促进脑卒中后患者偏瘫康复锻炼。

Abstract: Objective: To observe the therapeutic effect of stellate ganglion block combined with carpal tunnel block in the treatment of shoulder-hand syndrome. Methods: One patient with shoulder-hand syndrome, who had shoulder pain and hand edema, was given stellate ganglion block and carpal tunnel block. The VAS pain score, carpal tunnel circumference and wrist dorsiflexion ROM were measured immediately after treatment, 2 weeks, 4 weeks and 12 weeks after treatment. Results: The patient’s pain was significantly relieved, hand edema was reduced, and wrist dorsiflexion was slightly stronger. Conclusion: Stellate ganglion block combined with carpal tunnel block has a significant effect on shoulder-hand syndrome, improves sleep, and can promote rehabilitation exercises for hemiplegia after stroke.