Amadio P C, Silverstein M D, Ilstrup D M, Schleck C D, Jensen L M
Division of Hand Surgery, Mayo Clinic, Rochester, MN 55905, USA.
J Hand Surg Am. 1996 May;21(3):338-46. doi: 10.1016/S0363-5023(96)80340-6.
Clinical evaluation of outcome after treatment of carpal tunnel syndrome has not been standardized. To assess the value of various clinical and questionnaire measures for the assessment of outcome after carpal tunnel surgery, we surveyed 22 patients 1 day before and 3 months after carpal tunnel release with the following measures: the Medical Outcomes Study 36-item short form health survey, the Arthritis Impact Measurement Scale, the Brigham and Women's Hospital carpal tunnel questionnaire, wrist range of motion, power pinch grip strength, pressure sensibility, and dexterity. Significant changes, all in the direction of improved health status postoperatively, were noted in the following scales or measures: the Arthritis Impact Measurement Scale pain, satisfaction, health perception, arthritis impact, and symptom scales; the Brigham and Women's Hospital symptom and function scales; the short form health survey's physical role, emotional role, and bodily pain scales; and the measurement of dexterity. In this study, standardized questionnaires were more sensitive to the clinical change produced by carpal tunnel surgery than many commonly performed physical measures of outcome. The condition-specific questionnaire was more sensitive to change than were more generic questionnaires.
腕管综合征治疗后疗效的临床评估尚未标准化。为了评估各种临床及问卷调查方法在评估腕管手术后疗效方面的价值，我们对22例患者在腕管松解术前1天及术后3个月进行了如下测量：医学结局研究简明健康调查问卷36项、关节炎影响测量量表、布里格姆妇女医院腕管综合征调查问卷、腕关节活动范围、强力捏握力、压力感觉及灵活性。在以下量表或测量指标中均观察到显著变化，且所有变化均显示术后健康状况改善：关节炎影响测量量表的疼痛、满意度、健康认知、关节炎影响及症状量表；布里格姆妇女医院症状及功能量表；简明健康调查问卷的生理功能、情感功能及身体疼痛量表；以及灵活性测量。在本研究中，标准化问卷比许多常用的结局物理测量方法对腕管手术产生的临床变化更敏感。特定疾病问卷比更通用的问卷对变化更敏感。
