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患有腕管综合征的糖尿病患者的电诊断测试特征

Electrodiagnostic Testing Characteristics of Diabetic People with Carpal Tunnel Syndrome.

作者信息

Paiva Filho Henver Ribeiro, Reis Alex Timóteo Rodrigues, Matos Gabriel Antonio, Paiva Valdênia Graças Nascimento, Oliveira Elias Felix, Rocha Murilo Antônio

机构信息

Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil.

Serviço de Ortopedia e Traumatologia, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2021 Jun;56(3):356-359. doi: 10.1055/s-0040-1721841. Epub 2021 Feb 10.

Abstract

The present study aimed to correlate electroneuromyography (ENMG) findings in diabetic and nondiabetic subjects with carpal tunnel syndrome (CTS).  In total, 154 patients were evaluated in a hand surgery outpatient clinic. All ENMG tests were bilaterally performed by a single neurologist. Qualitative variables were described for all patients with CTS according to their diabetic status, and the chi-squared test was used to reveal any association. A joint model was adjusted to determine the influence of diabetes on ENMG severity in CTS patients.  The sample consisted of 117 women and 37 men, with an average age of 56.9 years old. Electroneuromyography demonstrated bilateral CTS in 82.5% of the patients. Diabetes was identified in 21.4% of the cases. Severe ENMG was prevalent.  There was no association between diabetes and ENMG severity in patients with CTS. Level of evidence IV, case series.

摘要

本研究旨在关联糖尿病和非糖尿病腕管综合征(CTS)患者的肌电图(ENMG)检查结果。

共有154例患者在手部外科门诊接受评估。所有ENMG检查均由同一位神经科医生双侧进行。根据糖尿病状态对所有CTS患者的定性变量进行描述,并采用卡方检验揭示是否存在关联。调整联合模型以确定糖尿病对CTS患者ENMG严重程度的影响。

样本包括117名女性和37名男性,平均年龄为56.9岁。肌电图显示82.5%的患者双侧患有CTS。21.4%的病例确诊为糖尿病。严重ENMG较为普遍。

CTS患者的糖尿病与ENMG严重程度之间无关联。证据级别IV,病例系列。

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Carpal tunnel syndrome: a review of the recent literature.腕管综合征:近期文献综述
Open Orthop J. 2012;6:69-76. doi: 10.2174/1874325001206010069. Epub 2012 Feb 23.
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The diabetic hand: a forgotten complication?糖尿病手:被遗忘的并发症?
J Diabetes Complications. 2010 May-Jun;24(3):154-62. doi: 10.1016/j.jdiacomp.2008.12.009. Epub 2009 Feb 13.
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