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哺乳期腕管综合征的自然病程。

The natural history of carpal tunnel syndrome in lactation.

作者信息

Wand J S

机构信息

Clinical Research Centre, Northwick Park Hospital, Middlesex.

出版信息

J R Soc Med. 1989 Jun;82(6):349-50. doi: 10.1177/014107688908200612.

DOI:10.1177/014107688908200612
PMID:2634992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1292168/
Abstract

In a retrospective postal study of 27 women who have developed carpal tunnel syndrome (CTS) in the puerperium, the condition was found to affect predominantly elderly primiparous women (mean age 31.5 years). The condition was associated with breastfeeding in 24 women. The three who did not breastfeed had less severe symptoms which resolved within one month of onset. The symptoms developed a mean of 3.5 weeks following delivery, lasted 6.5 months and started to resolve within 14 days of weaning. Symptomatic treatments with either splintage, diuretics, non-steroidal anti-inflammatory drugs or steroid injections provided some benefit. Two patients required surgical decompression. All patients were symptom-free by one year.

摘要

在一项对27名在产褥期患腕管综合征(CTS)的女性进行的回顾性邮寄研究中,发现该病主要影响高龄初产妇(平均年龄31.5岁)。24名女性的病情与母乳喂养有关。未进行母乳喂养的3名女性症状较轻,在发病后1个月内症状缓解。症状平均在分娩后3.5周出现,持续6.5个月,并在断奶后14天内开始缓解。采用夹板固定、利尿剂、非甾体抗炎药或类固醇注射进行对症治疗有一定益处。两名患者需要进行手术减压。所有患者在1年内均无症状。

相似文献

1
The natural history of carpal tunnel syndrome in lactation.哺乳期腕管综合征的自然病程。
J R Soc Med. 1989 Jun;82(6):349-50. doi: 10.1177/014107688908200612.
2
Carpal tunnel syndrome in pregnancy and lactation.
J Hand Surg Br. 1990 Feb;15(1):93-5. doi: 10.1016/0266-7681_90_90057-b.
3
[Genesis and therapy of postpartum carpal tunnel syndrome].[产后腕管综合征的成因与治疗]
Psychiatr Neurol Med Psychol (Leipz). 1984 Dec;36(12):733-6.
4
Carpal tunnel syndrome presenting in the puerperium.产褥期出现的腕管综合征
Practitioner. 1980 Feb;224(1340):191-3.
5
Pregnancy-induced carpal tunnel syndrome requiring surgical release longer than 2 years after delivery.产后两年以上需要手术松解的妊娠性腕管综合征
Obstet Gynecol. 1994 Aug;84(2):249-51.
6
Pharmacotherapy of carpal tunnel syndrome.腕管综合征的药物治疗
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7
Local steroid injection for moderately severe idiopathic carpal tunnel syndrome: protocol of a randomized double-blind placebo-controlled trial (NCT 00806871).局部类固醇注射治疗中度特发性腕管综合征:一项随机双盲安慰剂对照试验的方案(NCT 00806871)。
BMC Musculoskelet Disord. 2010 Apr 21;11:76. doi: 10.1186/1471-2474-11-76.
8
[Symptomatology of carpal tunnel syndrome during pregnancy and puerperium].[妊娠和产褥期腕管综合征的症状学]
Ginekol Pol. 2013 Oct;84(10):841-5. doi: 10.17772/gp/1649.
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Local injection of dexamethasone for the treatment of carpal tunnel syndrome in pregnancy.局部注射地塞米松治疗妊娠期腕管综合征
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[Carpal tunnel syndrome in pregnancy].[妊娠期腕管综合征]
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引用本文的文献

1
Carpal tunnel syndrome: a review.腕管综合征:综述
Clin Rheumatol. 1997 Nov;16(6):596-603. doi: 10.1007/BF02247800.

本文引用的文献

1
"Acroparaesthesia" and so-called "Neuritis" of Women's Hands and Arms.女性手部和手臂的“肢端感觉异常”及所谓的“神经炎”
Br Med J. 1945 Nov 3;2(4426):596-8. doi: 10.1136/bmj.2.4426.596.
2
Carpal tunnel syndrome presenting in the puerperium.产褥期出现的腕管综合征
Practitioner. 1980 Feb;224(1340):191-3.
3
Carpal tunnel syndrome in pregnancy.妊娠期腕管综合征
Am J Obstet Gynecol. 1967 Feb 15;97(4):493-8. doi: 10.1016/0002-9378(67)90562-5.
4
Carpal tunnel syndrome in pregnancy.
Hand. 1971 Mar;3(1):80-3. doi: 10.1016/0072-968x(71)90016-7.