在手腕道综合征患者中,电子诊断严重程度与患者报告的残疾之间的相关性
1Department of Neurology, Kayseri City Education and Research Hospital, Kayseri, Turkey.
Annals of Indian Academy of Neurology
|November 25, 2024
概括
手综合征 (CTS) 的电生理学数据与患者报告的疼痛和生活质量等结果相关. 主观措施补充了客观测试,以更好地诊断和管理CTS.
科学领域:
- 神经学 神经学
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
背景情况:
- 准确的诊断工具对于早期手腕道综合征 (CTS) 诊断,治疗和随访至关重要.
- 评估CTS中电生理学数据和临床发现之间的相关性对于优化患者管理至关重要.
研究的目的:
- 评估手腕道综合征 (CTS) 患者的电生理学发现如何与他们的临床数据保持一致.
- 确定主观患者报告的措施与客观电生理学数据一起用于CTS评估的有用性.
主要方法:
- 通过电子神经肌图 (electroneuromyography) 确认了手管综合征 (CTS) 的102名患者被纳入.
- 收集的数据包括波士顿手腕道综合征问卷 (BCTQ),SF-36生活质量调查,视觉模拟量表 (VAS) 和painDETECT (PD-Q) 问卷.
主要成果:
- 在电生理学测量和VAS得分之间观察到适度的相关性;与PD-Q得分的相关性较弱.
- 在CTS严重程度组 (P <0.05) 中,SF-36分级得分 (身体功能,身体疼痛,社会功能) 中存在显著差异.
- BCTQ症状严重程度尺度 (BCTQ-SSS) 预测了早期CTS,而BCTQ-SSS和BCTQ-功能状态尺度与高级CTS相关.
结论:
- 自我报告措施与电生理学数据一起,为诊断,治疗和监测CTS提供了一种多方向的方法.
- 客观和主观数据之间的相关性可以作为有价值的标记,以帮助CTS诊断和患者管理.
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