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德·奎尔温带炎作为新发粘合性囊炎的危险因素:全国性队列研究

Pao Huang^1,2, Ching-I Hong², Chung-Chao Liang^1,3

¹Department of Physical Medicine and Rehabilitation, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, Taiwan.

Healthcare (Basel, Switzerland)

|June 28, 2023

概括

德·奎尔温紧性肌炎 (DQT) 显著增加了发展粘性囊炎 (AC) 的风险. 严重的DQT和年轻的年龄与更高的AC发病率有关,这表明预防性疗法至关重要.

科学领域:

整形外科整形外科整形外科
类风湿病学类风湿病学
流行病学流行病学

背景情况:

德·奎尔韦恩肌炎 (De Quervain tenosynovitis,简称DQT) 是一种影响指肌的常见疾病.
粘着性囊炎 (AC),或冷的肩膀,是一种使人虚弱的疾病,影响肩膀的运动.
DQT与AC随后的发展之间的关系尚未得到充分证实.

研究的目的:

调查德·奎尔温紧肌炎 (DQT) 与患上粘性囊炎 (AC) 的风险之间的关联.
确定可能改变这种关联的潜在风险因素.

主要方法:

一项基于人口的队列研究,使用台湾国家健康保险研究数据库 (2001-2017).
包括32,048名被诊断患有DQT的患者.
1:1倾向得分匹配以创建一个控制队列.
主要结局:DQT诊断后至少一年的新发性AC.

主要成果:

DQT与新发性AC的风险增加有显著的关联.
需要康复的严重DQT显示与AC风险的积极关联较强.
男性性别和40岁以下的年龄被确定为AC发展的潜在额外风险因素.
17年后AC的累积发病率为严重DQT的24.1%,没有康复的DQT为20.8%.

结论:

这项研究提供了第一个基于人口的证据,将DQT与AC风险增加联系起来.
预防性职业治疗,包括肩关节修改和活动调整,建议DQT患者进行,以减轻AC风险.

关键词:

肩膀的粘合性囊炎.德·奎尔维恩 (de Quervain) 患有紧突炎 (tenosynovitis) 的病例已经得到证实.全国范围的队列数据库.职业治疗是一种职业治疗.康复康复康复康复康复康复

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