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Rehabilitation Practice and Science

Translated Title

反射性交感神經失養症與吸煙之相關性研究

Abstract

Reflex sympathetic dystrophy syndrome (RSDS) is a chronic painful syndrome, which may cause extreme pain and disability of the involved limbs of the patients. The unknown of causes of RSDS keep patients and clinicians from early prevention of this syndrome. Smoking may affect the sympathetic system. The purpose of this study was to find whether smoking has the prominent correlation with the morbidity of RSDS.This is a retrospective study by surveying the medical records of patients with RSDS admitted in Tri-Service General Hospital from January 1996 to December 2001. The possible trigger factors, lesion sites and the prevalence of smoking of these RSDS patients were investigated. The results of our study had shown that 60% of the RSDS patients were caused by trauma. Distal part of limbs was the prevalent site for RSDS, holding 74% of all cases. We also found that smoking had a significant correlation with the morbidity of RSDS. The risk factor exposure rate of smoking for the RSDS patients (experimental group) is much higher than the randomly selected patients (control group). There was a significant difference between these two groups with the pvalue less than 0.001. The odds ratio, which represented the correlation between whole RSDS patients in this study and smoking, was 2.70 and the 95﹪confidence interval was between 1.82 to 4.00. Additional studies to investigate the underlying mechanisms how smoking interacts with RSDS could be helpful for the treatment or prevention of RSDS.

Language

Traditional Chinese

First Page

227

Last Page

233

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