de la Fuente Fonnest I, Ellitsgaard V
Gynaekologisk-obstetrisk afdeling, Amtssygehuset i Gentofte.
Ugeskr Laeger. 1998 Sep 28;160(40):5791-4.
The purpose of the present study was to identify the incidence of hand symptoms related to pregnancy in a Danish population. Three hundred and thirty-five consecutive postpartum patients were interviewed by questionnaire. Hand symptoms had been noted by 16%, among these 30% described a classic median-nerve symptom distribution (carpal tunnel syndrome) and 24% of patients described an ulnar nerve distribution. Most symptoms were bilateral, commenced in the third trimester and resolved soon after delivery. There was a significant correlation of hand symptoms in pregnancy with the presence of swelling and a significant correlation to parity (first). Hand function and sleep had been disturbed in half of the patients. Half of the patients had mentioned their symptoms to their doctor and one had been sent to treatment. Hand symptoms during pregnancy are common, and their severity is often underestimated. Symptoms of the carpal tunnel syndrome are easily relieved by a night splint.
本研究的目的是确定丹麦人群中与妊娠相关的手部症状的发生率。通过问卷调查对335名连续的产后患者进行了访谈。16%的患者有手部症状，其中30%表现为典型的正中神经症状分布（腕管综合征），24%的患者表现为尺神经分布。大多数症状为双侧性，始于妊娠晚期，产后不久即缓解。妊娠时手部症状与肿胀的存在显著相关，与初产也显著相关。一半的患者手部功能和睡眠受到干扰。一半的患者向医生提及了他们的症状，其中一人被送去接受治疗。妊娠期间的手部症状很常见，其严重程度常常被低估。腕管综合征的症状通过夜间夹板很容易缓解。
