Derebery Jane
Concentra Health Services, 10200 Broadway Boulevard, Suite 201, San Antonio, TX 78217, USA.
Clin Occup Environ Med. 2006;5(2):353-67, viii. doi: 10.1016/j.coem.2005.11.014.
Carpal tunnel syndrome is a medical disease, not an injury, although symptoms may occur in association with certain physical activities of the upper extremity. The concept of work-related carpal tunnel syndrome has grown to such proportion as to be problematic for society, having spawned health care industries to support a cultural concept and a largely mythical medical paradigm. Because of these social and economic forces, cultural perceptions and expectations have adjusted to this flawed medical model. Success in improving patient management and making the best use of sound medical evidence depends on the concurrent use of educational strategies addressing social influences and attitudinal changes of practicing physicians, patients, and third-party administrators. The promotion of evidence-based medicine is key. This article discusses these controversies and suggests ways of managing carpal tunnel syndrome.
腕管综合征是一种医学疾病，而非损伤，尽管症状可能与上肢的某些体力活动有关。与工作相关的腕管综合征这一概念已发展到如此程度，以至于对社会来说成了一个问题，催生出了医疗保健行业来支持一种文化观念和一种很大程度上虚构的医学模式。由于这些社会和经济力量，文化认知和期望已经适应了这种有缺陷的医学模式。在改善患者管理以及充分利用可靠医学证据方面取得成功，取决于同时运用教育策略来应对执业医师、患者和第三方管理人员的社会影响及态度变化。推广循证医学是关键。本文讨论了这些争议，并提出了管理腕管综合征的方法。
