妊娠期腕管综合征
Carpal tunnel syndrome in pregnancy.
作者信息
Voitk A J, Mueller J C, Farlinger D E, Johnston R U
出版信息
Can Med Assoc J. 1983 Feb 1;128(3):277-81.
One thousand consecutive postpartum patients were interviewed by questionnaire to establish the incidence of carpal tunnel syndrome in pregnancy. Hand symptoms had been noted by 34%: 25% had had symptoms of carpal tunnel syndrome, 2% symptoms of ulnar nerve compression and 7% ill defined hand symptoms. Maternal and fetal age, parity and weight change did not correlate with the presence of symptoms. The rate of ring removal because of swelling was twice as great for the symptomatic women (73%) as for the asymptomatic women (36%), and the rates of pre-eclampsia, hypertension and edema were higher for the women with symptoms. Three quarters of the women had bilateral symptoms, and half of the multigravidas had had similar symptoms in previous pregnancies. Hand function and sleep were disturbed in 75% of the symptomatic women, yet only 46% of all those with symptoms mentioned their symptoms to their doctors; treatment was given to only 16% (35% of those who complained), and relief was obtained by only half of these.
通过问卷调查对1000名连续的产后患者进行了访谈，以确定妊娠期腕管综合征的发病率。34%的患者出现手部症状：25%有腕管综合征症状，2%有尺神经受压症状，7%有不明确的手部症状。产妇年龄、胎儿年龄、产次和体重变化与症状的出现无关。因肿胀而摘除戒指的比例，有症状的女性（73%）是无症状女性（36%）的两倍，有症状的女性发生先兆子痫、高血压和水肿的比例更高。四分之三的女性有双侧症状，半数经产妇在既往妊娠中有类似症状。75%有症状的女性手部功能和睡眠受到干扰，但所有有症状的女性中只有46%向医生提及了她们的症状；仅16%（主诉者的35%）接受了治疗，其中只有一半获得了缓解。
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