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一切都在手腕:腕管综合征的诊断与管理

It's All in the Wrist: Diagnosis and Management of Carpal Tunnel Syndrome.

作者信息

Durham Catherine O, VanRavenstein Kathy

机构信息

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.

出版信息

Orthop Nurs. 2017 Sep/Oct;36(5):323-327. doi: 10.1097/NOR.0000000000000390.

DOI:10.1097/NOR.0000000000000390
PMID:28930898
Abstract

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.

摘要

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。

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1
It's All in the Wrist: Diagnosis and Management of Carpal Tunnel Syndrome.一切都在手腕:腕管综合征的诊断与管理
Orthop Nurs. 2017 Sep/Oct;36(5):323-327. doi: 10.1097/NOR.0000000000000390.
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Carpal tunnel syndrome between two centuries.两个世纪以来的腕管综合征
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[Etiological factors of carpal tunnel syndrome in subjects occupationally exposed to monotype wrist movements].职业性暴露于单一类型腕部运动的受试者中腕管综合征的病因学因素
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Carpal tunnel syndrome and metabolic syndrome.腕管综合征与代谢综合征。
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Unusual entrapment neuropathy in a golf player.一名高尔夫球运动员的罕见卡压性神经病
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Transverse Movement of the Median Nerve in the Carpal Tunnel during Wrist and Finger Motion in Patients with Carpal Tunnel Syndrome.腕管综合征患者手腕和手指运动时正中神经在腕管内的横向运动
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引用本文的文献

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Diagnostic challenges of carpal tunnel syndrome in patients with congenital thenar hypoplasia: a comprehensive review.先天性大鱼际肌发育不全患者腕管综合征的诊断挑战:一项全面综述
J Orthop Surg Res. 2025 May 16;20(1):473. doi: 10.1186/s13018-025-05870-5.
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Metabolic syndrome and anthropometric indices in CTS hands: an electrophysiological study.腕管综合征手部的代谢综合征和人体测量学指标:一项电生理学研究。
Neurol Sci. 2022 Feb;43(2):1375-1384. doi: 10.1007/s10072-021-05430-9. Epub 2021 Jul 10.
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Carpal Tunnel Syndrome: A National Survey to Monitor Knowledge and Operating Methods.
腕管综合征:一项监测知识和操作方法的全国性调查。
Int J Environ Res Public Health. 2021 Feb 18;18(4):1995. doi: 10.3390/ijerph18041995.
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Distribution of age, gender, and occupation among individuals with carpal tunnel syndrome based on the National Health Insurance data and National Employment Insurance data.基于国民健康保险数据和国民就业保险数据的腕管综合征患者的年龄、性别和职业分布情况。
Ann Occup Environ Med. 2019 Nov 7;31:e31. doi: 10.35371/aoem.2019.31.e31. eCollection 2019.
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Can the First Web Space Angle Be Predictive of Carpal Tunnel Syndrome?第一掌骨间隙角能否预测腕管综合征?
Iran J Public Health. 2019 Feb;48(2):305-313.
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Ultrasound-guided needle release of the transverse carpal ligament with and without corticosteroid injection for the treatment of carpal tunnel syndrome.超声引导下横腕韧带松解术联合或不联合皮质类固醇注射治疗腕管综合征
J Orthop Surg Res. 2018 Apr 3;13(1):69. doi: 10.1186/s13018-018-0771-8.