de Krom M C, Knipschild P G, Kester A D, Thijs C T, Boekkooi P F, Spaans F
Department of Neurology, Maastricht University Hospital, University of Limburg, The Netherlands.
J Clin Epidemiol. 1992 Apr;45(4):373-6. doi: 10.1016/0895-4356(92)90038-o.
To study the prevalence of carpal tunnel syndrome (CTS) in the general population and the value of brachialgia paraesthetica nocturna (BPN) in diagnosing CTS, an age and sex stratified random sample of 715 subjects was taken from the population register of Maastricht (The Netherlands) and surrounding villages, between September 1983 and July 1985. The response rate was 70%. Of these, 12 CTS cases had already been diagnosed. Of the remaining subjects, 64 (13 men, 51 women) woke up because of BPN. Among these subjects 1 man and 23 women were found to have CTS. The prevalence rate of undetected CTS was 5.8% [95% confidence interval (CI): 3.5-8.1%] in adult women; 3.4 percent (95% CI: 1.5-5.3%) had already been diagnosed as CTS. The overall prevalence rate for men was 0.6% (95% CI 0.02-3.4%). These figures have to be regarded as minimal estimates. The overall diagnostic value of BPN for CTS was 38%, while for women only this was 45% (95% CI: 31-60%).
为研究普通人群中腕管综合征（CTS）的患病率以及夜间感觉异常性臂痛（BPN）对CTS的诊断价值，1983年9月至1985年7月期间，从荷兰马斯特里赫特及其周边村庄的人口登记册中抽取了715名按年龄和性别分层的随机样本。应答率为70%。其中，12例CTS病例已被诊断。在其余受试者中，64人（13名男性，51名女性）因BPN醒来。在这些受试者中，发现1名男性和23名女性患有CTS。成年女性中未被发现的CTS患病率为5.8%[95%置信区间（CI）：3.5 - 8.1%]；3.4%（95%CI：1.5 - 5.3%）已被诊断为CTS。男性的总体患病率为0.6%（95%CI 0.02 - 3.4%）。这些数字应被视为最低估计值。BPN对CTS的总体诊断价值为38%，仅对女性而言为45%（95%CI：31 - 60%）。
