Pogorzelski Robert, Kułakowska Alina, Halicka Dorota, Drozdowski Wiesław
Klinika Neurologii, Uniwersytet Medyczny w Białymstoku.
Przegl Lek. 2011;68(5):269-73.
Our aim was to define the type and frequency of symptoms in patients with neurophysiologically confirmed carpal tunnel syndrome (CTS). We also assessed the incidence of anxiety and depression in CTS and control group.
After carrying out neurophysiologic examination 87 patients were diagnosed with CTS, 50 patients without confirmed CTS diagnosis served as a control group. All patients underwent thorough neurological examination and completed a questionnaire about severity and localization of their symptoms. State-Trait Anxiety Inventory (STAI), Self Rating Anxiety Scale (SAS) and Beck's depression inventory were also filled in by the patients.
In CTS patients major symptoms were: paresthesias and nocturnal aggravation of symptoms; pain was predominant sign in control group. There were no statistically significant differences between CTS patients and control group concerning emotional (depression and anxiety) disturbances. In CTS patients depression and anxiety were correlated with: diminished sensation, hand weakness, thenar atrophy and hand pain.
Emotional disturbances appear to be linked with objective CTS symptoms and with pain and they increase with carpal tunnel syndrome intensity.
我们的目的是确定经神经生理学确诊的腕管综合征（CTS）患者的症状类型和频率。我们还评估了CTS组和对照组中焦虑和抑郁的发生率。
在进行神经生理学检查后，87例患者被诊断为CTS，50例未确诊CTS的患者作为对照组。所有患者均接受了全面的神经系统检查，并完成了一份关于症状严重程度和部位的问卷。患者还填写了状态-特质焦虑量表（STAI）、自评焦虑量表（SAS）和贝克抑郁量表。
CTS患者的主要症状为：感觉异常和夜间症状加重；疼痛是对照组的主要症状。CTS患者与对照组在情绪（抑郁和焦虑）障碍方面无统计学显著差异。在CTS患者中，抑郁和焦虑与以下因素相关：感觉减退、手部无力、鱼际肌萎缩和手部疼痛。
情绪障碍似乎与客观的CTS症状以及疼痛有关，并且随着腕管综合征严重程度的增加而加重。
