지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 779 - 785 (7page)
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초록· 키워드
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Objective To investigate the relationship between glycosylated hemoglobin A (HbA1c) and complex regional pain syndrome (CRPS) in stroke patients with type 2 diabetes mellitus (T2DM).Methods A retrospective chart review was performed of stroke patients from January 2012 to December 2013. We reviewed 331 patients and included 200 in the analysis. We divided them into CRPS and non-CRPS groups and compared them by age, gender, stroke lesion, cause of stroke, duration of T2DM, HbA1c (%), National Institutes of Health Stroke Scale score, affected shoulder flexor muscle strength, Fugl-Meyer Assessment score, motricity index, Functional Independence Measure, Korean version of Modified Barthel Index, blood glucose level on admission day, duration from stroke onset to HbA1c check, and duration from stroke onset to three-phase bone scan for CRPS diagnosis. Thereafter, we classified the patients into five groups by HbA1c level (group 1, 5.0%–5.9%; group 2, 6.0%–6.9%; group 3, 7.0%–7.9%; group 4, 8.0%–8.9%; and group 5, 9.0%–9.9%) and we investigated the difference in CRPS prevalence between the two groups.Results Of the 200 patients, 108 were in the CRPS group and 92 were in the non-CRPS group. There were significant differences in HbA1c (p<0.05) between the two groups but no significant differences in any other factors. Across the five HbA1c groups, there were significant differences in CRPS prevalence (p<0.01); specifically, it increased as HbA1c increased.Conclusion This study suggests that higher HbA1c relates to higher CRPS prevalence and thus that uncontrolled blood glucose can affect CRPS occurrence in stroke patients with diabetes.
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참고문헌 (37)
참고문헌 신청
Stanton-Hicks M / 1995 / Reflex sympathetic dystrophy:changing concepts and taxonomy / Pain 63:127~133
Merskey H / 1994 / Classification of chronic pain:descriptions of chronic pain syndromes and definitions of pain terms / IASP Press
Pertoldi S / 2005 / Shoulder-hand syndrome after stroke: a complex regional pain syndrome / Eura Medicophys 41:283~292
Tepperman PS / 1984 / Reflex sympathetic dystrophy in hemiplegia / Arch Phys Med Rehabil 65:442~447
Cheng PT / 1995 / Prediction of reflex sympathetic dystrophy in hemiplegic patients by electromyographic study / Stroke 26:2277~2280
Merskey H / 1994 / Classification of chronic pain:descriptions of chronic pain syndromes and definitions of pain terms / IASP Press
Pertoldi S / 2005 / Shoulder-hand syndrome after stroke: a complex regional pain syndrome / Eura Medicophys 41:283~292
Tepperman PS / 1984 / Reflex sympathetic dystrophy in hemiplegia / Arch Phys Med Rehabil 65:442~447
Cheng PT / 1995 / Prediction of reflex sympathetic dystrophy in hemiplegic patients by electromyographic study / Stroke 26:2277~2280
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