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目的探讨脑卒中偏瘫患者急性期与恢复期两手温度的变化与差异。方法采用美国生产 J42远红外皮温反馈治疗仪对脑卒中急性期 30例、恢复期 33例及正常对照组 30例 3组双手中指进行皮温测试。结果脑卒中急性期组患手皮温高于健侧，恢复期组患手皮温低于健侧，正常对照组两手温差分别与前两组比较有显著性差异 (P< 0.001)。结论脑卒中患者不同时期出现不同的皮温异常，认为与交感神经皮肤反应、反射性交感神经营养不良以及顶叶皮层感觉中枢损害等诸因素有关。
Objective To investigate the changes and differences of the temperature of both hands in acute and convalescent stroke patients with hemiplegia. Methods Twenty-three cases of acute stroke, 33 cases of convalescence and 30 cases of normal control group were treated with the J42 far-infrared skin temperature feedback therapy instrument in the United States. Results In the acute stage of stroke, the temperature of hand and skin was higher than that of contralateral side. The temperature of hand and skin in convalescent group was lower than that of contralateral side. There was a significant difference between the two groups (P <0.001). Conclusions Different dermatological abnormalities occur in patients with stroke at different stages, which are considered to be related to the sympathetic skin reaction, reflex sympathetic dystrophy and the damage of the parietal cortex central nervous system.