Durham Catherine O, VanRavenstein Kathy
Catherine O. Durham, DNP, FNP-BC, Director, MSN DN Program, College of Nursing, Medical University of South Carolina, MSC 160, Charleston. Kathy VanRavenstein, PhD, FNP-BC, Instructor, Medical University of South Carolina, College of Nursing, Charleston.
Orthop Nurs. 2017 Sep/Oct;36(5):323-327. doi: 10.1097/NOR.0000000000000390.
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy accounting for 90% of similar disorders, occurring in 3.8% of the population, common in adults aged 40-60 years, and is associated with an average 32 lost days of work and lost productivity. In addition to occupational exposure, there are several common chronic disorders that can preclude CTS, obesity, diabetes mellitus, rheumatoid arthritis, pregnancy, metabolic syndrome, and thyroid disorder, to name a few. Therefore, it is important for the primary care provider to have knowledge in this syndrome. The purpose of the article is to inform the provider about the etiology, presentation, diagnosis, and treatment of CTS, as well as the implications for job-associated CTS.
腕管综合征(CTS)是最常见的卡压性神经病变,占同类疾病的90%,在3.8%的人群中发生,常见于40至60岁的成年人,并且平均会导致32个工作日的误工和生产力损失。除职业暴露外,还有几种常见的慢性疾病也可能引发腕管综合征,比如肥胖、糖尿病、类风湿性关节炎、妊娠、代谢综合征和甲状腺疾病等。因此,初级保健提供者了解这种综合征很重要。本文的目的是让提供者了解腕管综合征的病因、表现、诊断和治疗,以及与工作相关的腕管综合征的影响。