背景:腕管综合征是正中神经慢性压迫的结果,引起疼痛和感觉异常,尤其是在晚上。这些症状对患者的影响包括睡眠模式中断和通过手部运动减轻不适的愿望。我们的研究旨在调查风险因素,协会,以及与腕管综合征的这些夜间表现相关的高危患者特征。
方法:利用回顾性病例对照设计,我们的研究包括681名腕管综合征患者,包括581个夜间症状和90个没有。数据是通过个性化电话和健康记录获得的,涵盖健康概况,医疗合并症,围手术期变量,和选定的结果。
结果:分析591名夜间症状患者与非夜间症状组相比有显著差异。夜间症状组的平均年龄较低(51.3vs.56.6年,p=0.001),糖尿病患病率较高(30.1%vs.45.6%,p=0.003),和感觉异常(98.5%vs.81.1%,p<0.001)。此外,夜间症状组报告致残疼痛的发生率较高(89.2%vs.70.0%,p<0.001),手抓地力弱(80.5%vs.62.2%,p<0.001),和夜间夹板使用(37.7%与24.4%,p<0.001)。术前,夜间症状组表现出略高的术中焦虑(40.9%vs.30.0%,p=0.12)和稍长的恢复时间(1.7与1.4个月,p=0.22),疼痛缓解评分无显著差异(8.1vs.7.7,p=0.16)。
结论:有夜间症状的患者出现合并症的可能性增加(糖尿病,和肾脏,条件),以及致残症状和感觉异常的倾向。虽然他们经历了稍长的恢复时间,他们表现出改善的疼痛缓解评分。
方法:病例对照研究。
BACKGROUND: Carpal tunnel syndrome results from chronic compression of the median nerve, causing pain and paresthesia, especially at night. The impact of these symptoms on patients includes disrupted sleep patterns and a desire to alleviate discomfort through hand movements. Our study aims to investigate risk factors, associations, and high-risk patient profiles associated with these nocturnal manifestations in carpal tunnel syndrome.
METHODS: Utilizing a retrospective case-control design, our study comprises 681 patients with carpal tunnel syndrome, including 581 with nocturnal symptoms and 90 without. Data were obtained through personalized phone calls and health records, covering health profiles, medical comorbidities, perioperative variables, and selected outcomes.
RESULTS: Analyzing 591 patients with night symptoms revealed significant differences compared to the non-night symptoms group. The night symptoms group exhibited a lower mean age (51.3 vs. 56.6 years, p = 0.001), higher prevalence of diabetes (30.1% vs. 45.6%, p = 0.003), and paresthesia (98.5% vs. 81.1%, p < 0.001). In addition, the night symptoms group reported a higher incidence of disabling pain (89.2% vs. 70.0%, p < 0.001), weak hand grip (80.5% vs. 62.2%, p < 0.001), and night splints use (37.7% vs. 24.4%, p < 0.001). Preoperatively, the night symptoms group exhibited slightly higher intraoperative anxiety (40.9% vs. 30.0%, p = 0.12) and a slightly longer recovery time (1.7 vs. 1.4 months, p = 0.22), with no significant difference in pain relief scores (8.1 vs. 7.7, p = 0.16).
CONCLUSIONS: Patients with night symptoms show increased likelihood of comorbidities (diabetes, and renal, conditions), along with a propensity for disabling symptoms and paresthesia. Although they experience slightly longer recovery times, they demonstrate improved pain relief scores.
METHODS: Case-Control Study.