Iftikhar Sadaf, Javed Muhammad Athar, Kasuri Muhammad Naeem
Department of Neurology, King Edward Medical University/ Mayo Hospital, Lahore.
J Coll Physicians Surg Pak. 2016 May;26(5):380-3.
To determine the frequency of metabolic syndrome and its components in patients with carpal tunnel syndrome.
Case-series.
Department of Neurology, Mayo Hospital, Lahore, from January to June 2012.
Seventy-five (64 females and 11 males) patients with clinically diagnosed and electrodiagnostically confirmed carpal tunnel syndrome were inducted. Their waist circumference, blood pressure, fasting blood glucose, fasting triglycerides and high density lipoprotein cholesterol levels were recorded. Patients were categorized having metabolic syndrome according to Adult Treatment Panel III criteria, if any 3 were present out of hypertension, elevated fasting triglycerides, reduced high density lipoprotein cholesterol, elevated fasting blood glucose, and elevated waist circumference.
Mean age of the patients was 42.04 ±9.31 years, mean waist circumference was 95.32 ±9.03 cm, mean systolic blood pressure was 134.13 ±13.72 mmHg, mean diastolic blood pressure was 89.13 ±8.83 mmHg, mean fasting blood glucose was 94.35 ±21.81 mg/dl, mean fasting triglycerides was 177.48 ±48.69 mg/dl, and mean high density lipoprotein cholesterol was 41.95 ±11.17 mg/dl. Metabolic syndrome was found in 54 (72%) patients including 9 (16.7%) males and 45 (83.3%) females. Out of 75 patients, 54 (72%) had elevated waist circumference, 52 (69.3%) had elevated blood pressure, 19 (25.3%) had elevated fasting blood glucose, 53 (70.6%) had elevated fasting triglycerides and 54 (72%) had reduced high density lipoprotein cholesterol. Highest frequency of metabolic syndrome was found in age range of 40 - 49 years in both genders.
Metabolic syndrome is frequently found in the patients with carpal tunnel syndrome.
确定腕管综合征患者代谢综合征及其各组分的发生率。
病例系列研究。
2012年1月至6月，拉合尔梅奥医院神经内科。
纳入75例临床诊断并经电诊断确诊的腕管综合征患者（64例女性，11例男性）。记录其腰围、血压、空腹血糖、空腹甘油三酯及高密度脂蛋白胆固醇水平。若患者出现高血压、空腹甘油三酯升高、高密度脂蛋白胆固醇降低、空腹血糖升高及腰围增加这五项中的任意三项，则根据成人治疗小组第三次报告标准将其归类为患有代谢综合征。
患者的平均年龄为42.04±9.31岁，平均腰围为95.32±9.03厘米，平均收缩压为134.13±13.72毫米汞柱，平均舒张压为89.13±8.83毫米汞柱，平均空腹血糖为94.35±21.81毫克/分升，平均空腹甘油三酯为177.48±48.69毫克/分升，平均高密度脂蛋白胆固醇为41.95±11.17毫克/分升。54例（72%）患者患有代谢综合征，其中男性9例（16.7%），女性45例（83.3%）。75例患者中，54例（72%）腰围增加，52例（69.3%）血压升高，19例（25.3%）空腹血糖升高，53例（70.6%）空腹甘油三酯升高，54例（72%）高密度脂蛋白胆固醇降低。40至49岁年龄段的男女患者中代谢综合征的发生率最高。
腕管综合征患者中经常发现代谢综合征。
