jiankang健康之路,健康网,两性健康,女性健康,39健康网健康大讲堂,三九健康网,性健康,男性健康, 肩-手综合征是中风后突然出现的手肿胀疼痛。较典型的是肩部疼痛、手浮肿和疼痛（被动屈曲手指时为明显），皮温上升，若不及时治疗，消肿后手部肌肉萎缩，手及手指挛缩畸形。 jian - shou zong he zheng shi zhong feng hou tu ran chu xian de shou zhong zhang teng tong jiao dian xing de shi jian bu teng tong shou fu zhong he teng tong bei dong qu qu shou zhi shi wei ming xian pi wen shang sheng ruo bu ji shi zhi liao xiao zhong hou shou bu ji rou wei suo shou ji shou zhi luan suo ji xing 临床上常可见到导致肩-手综合征发生的原因，总结归纳有以下几点： lin chuang shang chang ke jian dao dao zhi jian - shou zong he zheng fa sheng de yuan yin zong jie gui na you yi xia ji dian 1、腕屈曲位长时间受压：患者长时间卧床或坐在轮椅上，为注意到手长时间放在体侧，腕被迫处于屈曲位；许多患者早期出现对患肢的忽略症，不能注意到手何时已处于不利地位。腕被迫屈曲影响手静脉回流，手上的大部分静脉回流都在手背面。肩-手综合征的早期，手的水肿也以手背为主。 1 wan qu qu wei chang shi jian shou ya huan zhe chang shi jian wo chuang huo zuo zai lun yi shang wei zhu yi dao shou chang shi jian fang zai ti ce wan bei po chu yu qu qu wei hu duo huan zhe zao qi chu xian dui huan zhi de hu lue zheng bu neng zhu yi dao shou he shi yi chu yu bu li di wei wan bei po qu qu ying xiang shou jing mai hui liu shou shang de da bu fen jing mai hui liu dou zai shou bei mian jian - shou zong he zheng de zao qi shou de shui zhong ye yi shou bei wei zhu 2、对手关节的过度牵拉可能引发炎症反应，出现水肿与疼痛：治疗师或辅助人员可能在无意之中时患者的手作过度活动，以致造成关节及其周围结构的损伤。如：鼓励患者用伸展的患肩负重，然后让患者尽可能地向患侧转移重心，这样可以使腕关节更加背伸，若活动过猛或以不收控制的方式进行，腕背伸就会超过正常范围；患者进行俯跪位、站位或坐位时，伸肘支持体重的状态进行锻炼时，都可能发生相同机制的损伤；如果患者在上肢负重的情况下，左肘的屈、伸运动，腕关节很容易被不当的过度背伸；被动活动过度用力，也可发生同样的情况。 jiankang健康之路,健康网,两性健康,女性健康,39健康网健康大讲堂,三九健康网,性健康,男性健康, 2 dui shou guan jie de guo du qian la ke neng yin fa yan zheng fan ying chu xian shui zhong yu teng tong zhi liao shi huo fu zhu ren yuan ke neng zai wu yi zhi zhong shi huan zhe de shou zuo guo du huo dong yi zhi zao cheng guan jie ji qi zhou wei jie gou de sun shang ru gu li huan zhe yong shen zhan de huan jian fu zhong ran hou rang huan zhe jin ke neng di xiang huan ce zhuan yi zhong xin zhe yang ke yi shi wan guan jie geng jia bei shen ruo huo dong guo meng huo yi bu shou kong zhi de fang shi jin hang wan bei shen jiu hui chao guo zheng chang fan wei huan zhe jin hang fu gui wei zhan wei huo zuo wei shi shen zhou zhi chi ti zhong de zhuang tai jin hang duan lian shi dou ke neng fa sheng xiang tong ji zhi de sun shang ru guo huan zhe zai shang zhi fu zhong de qing kuang xia zuo zhou de qu shen yun dong wan guan jie hen rong yi bei bu dang de guo du bei shen bei dong huo dong guo du yong li ye ke fa sheng tong yang de qing kuang jiankang jian kang zhi lu , jian kang wang , liang xing jian kang , nv xing jian kang ,39 jian kang wang jian kang da jiang tang , san jiu jian kang wang , xing jian kang , nan xing jian kang , 3、输液时液体渗漏至手背组织内：临床上常用手静脉进行输液，而有时医务人员用患侧手，目的是不影响患者床上的自理。如液体外渗，则引起明显水肿。 3 shu ye shi ye ti shen lou zhi shou bei zu zhi nei lin chuang shang chang yong shou jing mai jin hang shu ye er you shi yi wu ren yuan yong huan ce shou mu de shi bu ying xiang huan zhe chuang shang de zi li ru ye ti wai shen ze yin qi ming xian shui zhong 4、手部小的意外损伤：感觉确实或疏忽时，很易损伤手；向偏瘫侧摔倒而损伤手；不注意接触热盘子、香烟或热水瓶时而被烫伤；患手可能被卷入轮椅的轮子而损伤手。这些手的损伤将导致收的水肿。 4 shou bu xiao de yi wai sun shang gan jiao que shi huo shu hu shi hen yi sun shang shou xiang pian tan ce shuai dao er sun shang shou bu zhu yi jie chu re pan zi xiang yan huo re shui ping shi er bei tang shang huan shou ke neng bei juan ru lun yi de lun zi er sun shang shou zhe xie shou de sun shang jiang dao zhi shou de shui zhong 综上所述，以上四点引起肩-手综合征的原因在治疗和生活中都是可以预防的。实际上，肩-手综合征得原因在治疗和生活中都是可以预防的。实际上，肩-手综合征的预防目的在于消除所有引起水肿的原因：要注意患者在床上卧位和在椅子上坐位的体位摆放，即保证患者腕部不处于过屈位或患臂不悬垂在轮椅外，以免手损伤；小心进行患侧上肢做练习，若需要，治疗师应帮助患者控制运动；在进行患侧上肢负重练习或其他形式的被动运动之前，治疗师应改变手的位置，若仍有疼痛，应停止该活动；应尽力避免在偏瘫手上做静脉输液；包括家属在内的所有治疗小组成员都应帮助患者避免手的小损伤。 zong shang suo shu yi shang si dian yin qi jian - shou zong he zheng de yuan yin zai zhi liao he sheng huo zhong dou shi ke yi yu fang de shi ji shang jian - shou zong he zheng de yuan yin zai zhi liao he sheng huo zhong dou shi ke yi yu fang de shi ji shang jian - shou zong he zheng de yu fang mu de zai yu xiao chu suo you yin qi shui zhong de yuan yin yao zhu yi huan zhe zai chuang shang wo wei he zai yi zi shang zuo wei de ti wei bai fang ji bao zheng huan zhe wan bu bu chu yu guo qu wei huo huan bi bu xuan chui zai lun yi wai yi mian shou sun shang xiao xin jin hang huan ce shang zhi zuo lian xi ruo xu yao zhi liao shi ying bang zhu huan zhe kong zhi yun dong zai jin hang huan ce shang zhi fu zhong lian xi huo qi ta xing shi de bei dong yun dong zhi qian zhi liao shi ying gai bian shou de wei zhi ruo reng you teng tong ying ting zhi gai huo dong ying jin li bi mian zai pian tan shou shang zuo jing mai shu ye bao kuo jia shu zai nei de suo you zhi liao xiao zu cheng yuan dou ying bang zhu huan zhe bi mian shou de xiao sun shang jiankang健康之路,健康网,两性健康,女性健康,39健康网健康大讲堂,三九健康网,性健康,男性健康,