不同职业中手术治疗的腕管综合征和肘部尺神经卡压及其对手术效果的影响。
Surgically Treated Carpal Tunnel Syndrome and Ulnar Nerve Entrapment at the Elbow in Different Occupations and their Effect on Surgical Outcome.
出版信息
J Occup Environ Med. 2022 Jun 1;64(6):e369-e373. doi: 10.1097/JOM.0000000000002539. Epub 2022 May 4.
OBJECTIVE
We investigated whether certain occupations were over-represented among surgically treated carpal tunnel syndrome and ulnar entrapment at the elbow, and if manual occupation affected surgical outcome.
METHODS
We included 9030 patients operated for CTS and 1269 for UNE registered in the Swedish National Quality Register for Hand Surgery (HAKIR) 2010-2016. Occupational data was retrieved from Statistics Sweden. Outcome was assessed using the QuickDASH questionnaire.
RESULTS
In patients operated for CTS, there were more assistant nurses, attendants/care providers/personal assistants, nannies/student assistants, carpenters/bricklayers/construction workers, cleaners, nurses, and vehicle mechanics than in the general population. In the UNE population, assistant nurses and attendants/care providers/personal assistants were over-represented. Manual workers with CTS scored the preoperative QuickDASH higher than non-manual workers.
CONCLUSIONS
Manual workers are overrepresented among surgically treated CTS and UNE. Manual workers with CTS have more symptoms preoperatively than non-manual workers.
目的
我们调查了某些职业在接受手术治疗的腕管综合征和肘部尺神经卡压症患者中是否比例过高，以及是否存在手工职业对手术结果的影响。
方法
我们纳入了 9030 例在瑞典手部手术质量登记系统（HAKIR）2010-2016 年期间接受手术治疗的 CTS 患者和 1269 例接受手术治疗的 UNE 患者。职业数据来自瑞典统计局。使用 QuickDASH 问卷评估手术结果。
结果
在接受手术治疗的 CTS 患者中，助理护士、护理人员/护理提供者/个人助理、保姆/学生助理、木匠/瓦匠/建筑工人、清洁工、护士和汽车机械师的比例高于普通人群。在 UNE 患者中，助理护士和护理人员/护理提供者/个人助理的比例过高。患有 CTS 的体力劳动者术前 QuickDASH 评分高于非体力劳动者。
结论
接受手术治疗的 CTS 和 UNE 患者中，体力劳动者比例过高。患有 CTS 的体力劳动者术前症状比非体力劳动者更严重。
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