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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.

PMID:6821784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1874761/
Abstract

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.

摘要

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。

相似文献

1
Carpal tunnel syndrome in pregnancy.妊娠期腕管综合征
Can Med Assoc J. 1983 Feb 1;128(3):277-81.
2
[Hand symptoms and pregnancy].[手部症状与妊娠]
Ugeskr Laeger. 1998 Sep 28;160(40):5791-4.
3
Ulnar tunnel syndrome caused by an accessory palmaris muscle.
Orthop Rev. 1989 Mar;18(3):345-7.
4
[Vascular causes of median and ulnar nerve compression syndromes].[正中神经和尺神经卡压综合征的血管性病因]
Handchirurgie. 1977;9(4):189-91.
5
Carpal tunnel syndrome in pregnancy. A prospective study.妊娠期腕管综合征。一项前瞻性研究。
Acta Obstet Gynecol Scand. 1987;66(3):233-5. doi: 10.3109/00016348709020753.
6
Ulnar nerve entrapment in Guyon's canal due to recurrent carpal tunnel syndrome: case report.复发性腕管综合征导致Guyon管内尺神经卡压:病例报告
Turk Neurosurg. 2011;21(3):435-7. doi: 10.5137/1019-5149.JTN.2959-10.1.
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Pregnancy-induced carpal tunnel syndrome requiring surgical release longer than 2 years after delivery.产后两年以上需要手术松解的妊娠性腕管综合征
Obstet Gynecol. 1994 Aug;84(2):249-51.
8
Carpal tunnel syndrome following automobile collisions.汽车碰撞后出现的腕管综合征
Arch Phys Med Rehabil. 1981 May;62(5):204-6.
9
Survey of hand symptoms in pregnancy.
Med J Aust. 1987;147(11-12):542-4. doi: 10.5694/j.1326-5377.1987.tb133678.x.
10
Delayed ulnar neuropathy at the wrist following open carpal tunnel release.开放性腕管松解术后腕部迟发性尺神经病变
Muscle Nerve. 2005 Mar;31(3):394-7. doi: 10.1002/mus.20262.

引用本文的文献

1
Pulsed magnetic field versus ultrasound in the treatment of postnatal carpal tunnel syndrome: A randomized controlled trial in the women of an Egyptian population.脉冲磁场与超声波治疗产后腕管综合征的比较:一项针对埃及女性人群的随机对照试验
J Adv Res. 2017 Jan;8(1):45-53. doi: 10.1016/j.jare.2016.11.001. Epub 2016 Nov 21.
2
The HAPPY study (Holistic Approach to Pregnancy and the first Postpartum Year): design of a large prospective cohort study.HAPPY研究(孕期及产后第一年的整体方法):一项大型前瞻性队列研究的设计
BMC Pregnancy Childbirth. 2014 Sep 8;14:312. doi: 10.1186/1471-2393-14-312.
3
Impact of carpal tunnel syndrome on the expectant woman's life.腕管综合征对孕妇生活的影响。
Asia Pac Fam Med. 2012 Jan 30;11(1):1. doi: 10.1186/1447-056X-11-1.
4
Carpal tunnel syndrome.腕管综合征
BMJ Clin Evid. 2010 Mar 23;2010:1114.
5
Median nerve: neurophysiological parameters in third trimester of pregnancy.正中神经:妊娠晚期的神经生理学参数
Bosn J Basic Med Sci. 2007 Feb;7(1):84-9. doi: 10.17305/bjbms.2007.3099.
6
Carpal tunnel syndrome (CTS) and exposure to vibration, repetitive wrist movements, and heavy manual work: a case-referent study.腕管综合征(CTS)与接触振动、重复性手腕运动及繁重体力劳动:一项病例对照研究。
Br J Ind Med. 1989 Jan;46(1):43-7. doi: 10.1136/oem.46.1.43.

本文引用的文献

1
Backache of pregnancy: a method of treatment.孕期背痛:一种治疗方法。
Obstet Gynecol. 1958 Dec;12(6):670-6.
2
Carpal tunnel syndrome in pregnancy: a report of two cases.妊娠期腕管综合征:两例报告
Am J Obstet Gynecol. 1957 Jun;73(6):1333-6. doi: 10.1016/0002-9378(57)90278-8.
3
Idiopathic carpal tunnel syndrome caused by carpal stenosis.由腕管狭窄引起的特发性腕管综合征。
Br Med J. 1980 May 31;280(6227):1297-9. doi: 10.1136/bmj.280.6227.1297.
4
Carpal tunnel syndrome in pregnancy.妊娠期腕管综合征
Am J Obstet Gynecol. 1967 Feb 15;97(4):493-8. doi: 10.1016/0002-9378(67)90562-5.
5
Median nerve conduction in pregnancy.
Arch Phys Med Rehabil. 1969 Feb;50(2):75-80.
6
The carpal tunnel syndrome--a new complication ascribed to the "pill".腕管综合征——一种归因于“药丸”的新并发症。
Am J Obstet Gynecol. 1970 Aug 15;107(8):1265-7. doi: 10.1016/s0002-9378(15)30382-3.
7
Carpal tunnel syndrome in pregnancy.妊娠期腕管综合征
South Med J. 1978 Feb;71(2):144-5, 154. doi: 10.1097/00007611-197802000-00018.