Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia.
Clinic of Occupational Medicine and Toxicology, University Hospital in Martin and Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia.
Cent Eur J Public Health. 2020 Dec;28(4):274-278. doi: 10.21101/cejph.a6109.
The purpose of this study was to identify personal variables and nonoccupational risk factors for carpal tunnel syndrome and to analyse the strength of association of these factors.
We performed a case-control study with 162 cases and 300 controls. We studied consecutive patients with an electrophysiologically confirmed diagnosis of symptomatic carpal tunnel syndrome. Univariate analysis was performed in the case group and control comparing them for presence of various risk factors. Multivariate analysis was carried out through logistic regression.
The mean BMI and age were greater in the case group than in the control. Multivariate analysis showed that BMI (OR = 1.05, 95% CI = 1.01-1.11) and arterial hypertension (OR = 4.63, 95% CI = 2.88-7.44) were the only factors significantly associated with carpal tunnel syndrome. The age, cigarette smoking and alcohol drinking were at the edge of significance.
Carpal tunnel syndrome is the most common peripheral neuropathy and has been related to occupational activities in some but not all studies. Clarifying this relationship has important implications for workers' compensation systems. Based on our findings, BMI and arterial hypertension are considered to be the most significant risk factors of carpal tunnel syndrome in our study.
本研究旨在确定腕管综合征的个人变量和非职业危险因素，并分析这些因素的关联强度。
我们进行了一项病例对照研究，共纳入 162 例病例和 300 例对照。我们研究了经电生理证实的有症状腕管综合征患者。对病例组和对照组进行单变量分析，比较两组之间存在的各种危险因素。通过逻辑回归进行多变量分析。
病例组的平均 BMI 和年龄大于对照组。多变量分析显示，BMI（OR = 1.05，95%CI = 1.01-1.11）和动脉高血压（OR = 4.63，95%CI = 2.88-7.44）是与腕管综合征显著相关的唯一因素。年龄、吸烟和饮酒处于显著相关的边缘。
腕管综合征是最常见的周围神经病变，在一些但不是所有研究中与职业活动有关。澄清这种关系对工人赔偿制度具有重要意义。根据我们的发现，BMI 和动脉高血压被认为是我们研究中腕管综合征的最重要危险因素。
