Turgut F, Cetinşahinahin M, Turgut M, Bölükbaşi O
Department of Gynecology and Obstetrics, Aydin Maternity Hospital, Aydin, TR-09100, Turkey.
J Clin Neurosci. 2001 Jul;8(4):332-4. doi: 10.1054/jocn.2000.0761.
To determine the prevalence of carpal tunnel syndrome (CTS) after delivery and its relationship to individual factors.
A cohort of 46 pregnant women, aged 15-48 years, who had suffered from CTS during pregnancy and who had delivered at Aydin Maternity Hospital, Turkey was selected. They had been followed up through pregnancy and 12 months postpartum and filled out a questionnaire. The data were analysed statistically.
Follow up showed that CTS at 6 and 12 months post partum was reported by 10.9% and 4.3% of the women, respectively. The difference in prevalence of CTS between young women and older women was statistically significant (P= 0.005). The history of diabetes mellitus and infant birth weight were similar in the two groups. However, patient weight gain during pregnancy increased the risk of CTS (P= 0.000). On the other hand, there was no difference in the number of previous pregnancies between women with CTS and without CTS during pregnancy (P= 0.210). Furthermore, affected and unaffected groups required Caesarean section in nine and 248 patients during pregnancy, respectively.
These results indicate that, in most pregnant patients with CTS, the symptoms are present in both hands and are first noted during the third trimester. The majority of patients with CTS obtain spontaneous relief in the immediate postpartum period.
确定分娩后腕管综合征（CTS）的患病率及其与个体因素的关系。
选取了46名年龄在15 - 48岁之间、孕期患有CTS且在土耳其艾登妇产医院分娩的孕妇。对她们进行了孕期及产后12个月的随访，并填写了问卷。对数据进行了统计学分析。
随访显示，产后6个月和12个月时分别有10.9%和4.3%的女性报告患有CTS。年轻女性和年长女性CTS患病率的差异具有统计学意义（P = 0.005）。两组的糖尿病史和婴儿出生体重相似。然而，孕妇孕期体重增加会增加患CTS的风险（P = 0.000）。另一方面，孕期患有CTS和未患CTS的女性既往怀孕次数没有差异（P = 0.210）。此外，孕期受影响组和未受影响组分别有9名和248名患者进行了剖宫产。
这些结果表明，在大多数患有CTS的孕妇中，症状双手均有，且在孕晚期首次出现。大多数CTS患者在产后立即获得自发缓解。
