Aouatef M, Asma B, Hajer H, Charfeddine A, Lamia B, Taoufik K
Department of Occupational Health & Ergonomic, Faculty of Medicine of Monastir, University of Monastir.
Reumatismo. 2017 Aug 3;69(2):59-64. doi: 10.4081/reumatismo.2017.978.
The objective is to assess the influence of sociodemographic, professional and clinical variables on the choice of treatment of work-related carpal tunnel syndrome (CTS). An exhaustive and trans-sectional study was conducted over a period of eight years, from 1st January 2006 to 31 December 2013 in the Department of Occupational Medicine at University Hospital of Mahdia, Tunisia. The study population was represented by patients with work-related carpal tunnel syndrome. Data collection was based on a questionnaire sheet, describing social, occupational and medical characteristics of patients. The study population was characterized by a large female dominance, representing 95.3% with an average age of 42±7.8 years. Patients medically treated represented 38.7% and 61.3% had had surgical treatment. After binary logistic regression, surgical indication of CTS was significantly correlated to diabetes (p=0.017), other musculoskeletal disorders (p=0.02), functional signs of CTS (acrocyanosis p=0.05; muscle weakness p=0.015; radiating pain p=0.01; painful discomfort of the hand, the forearm or arm p=0.027) and to the atrophy of thenar muscles (p=0.018). According to this study, the choice of therapy for occupational CTS depends only on clinical data. More detailed studies will be needed to refine these results.
目的是评估社会人口统计学、职业和临床变量对工作相关腕管综合征（CTS）治疗选择的影响。2006年1月1日至2013年12月31日期间，在突尼斯马赫迪耶大学医院职业医学科进行了一项详尽的横断面研究。研究人群为患有工作相关腕管综合征的患者。数据收集基于一份描述患者社会、职业和医学特征的问卷表。研究人群的特点是女性占主导，占95.3%，平均年龄为42±7.8岁。接受药物治疗的患者占38.7%，接受手术治疗的患者占61.3%。经过二元逻辑回归分析，CTS的手术指征与糖尿病（p = 0.017）、其他肌肉骨骼疾病（p = 0.02）、CTS的功能体征（手足发绀p = 0.05；肌肉无力p = 0.015；放射性疼痛p = 0.01；手部、前臂或手臂疼痛不适p = 0.027）以及大鱼际肌萎缩（p = 0.018）显著相关。根据这项研究，职业性CTS的治疗选择仅取决于临床数据。需要更详细的研究来完善这些结果。
