Benz R L, Siegfried J W, Teehan B P
Division of Nephrology, Lankenau Hospital, Philadelphia, PA.
Am J Kidney Dis. 1988 Jun;11(6):473-6. doi: 10.1016/s0272-6386(88)80082-9.
Carpal tunnel syndrome (CTS) has been reported with increased frequency in hemodialysis (HD) patients. A comparative study of patients on continuous ambulatory peritoneal dialysis (CAPD) has not been previously reported. To delineate the significance of dialytic modality and access-related risk factors, this study investigated the incidence and patient characteristics of CTS in CAPD v HD populations. One hundred and fifty one patients (HD n = 90, CAPD n = 61) were evaluated by questionnaire, physical examination, and nerve conduction studies. Age, gender, renal diagnosis, access, diabetic history, and duration of dialysis were determined. Eight of 57 CAPD and 15/83 HD patients had CTS. chi 2 testing revealed no significant difference in incidence (P = 0.7). It is concluded that CTS occurs with similar incidence in CAPD and HD populations. Dialytic modality and access are not likely to be factors in the development of CTS. Rather, CTS is a metabolic complication of end-stage renal failure.
据报道，血液透析（HD）患者中腕管综合征（CTS）的发病率有所增加。此前尚未有关于持续性非卧床腹膜透析（CAPD）患者的比较研究报道。为了阐明透析方式和与通路相关的危险因素的重要性，本研究调查了CAPD患者与HD患者中CTS的发病率及患者特征。通过问卷调查、体格检查和神经传导研究对151例患者（HD患者90例，CAPD患者61例）进行了评估。确定了年龄、性别、肾脏诊断、通路、糖尿病史和透析时间。57例CAPD患者中有8例、83例HD患者中有15例患有CTS。卡方检验显示发病率无显著差异（P = 0.7）。得出的结论是，CAPD患者和HD患者中CTS的发病率相似。透析方式和通路不太可能是CTS发生的因素。相反，CTS是终末期肾衰竭的一种代谢并发症。
