The prevalence and characteristics of nerve compression symptoms in the general population

The prevalence and characteristics of nerve compression symptoms in the general population
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DOI:
10.1053/jhsu.2001.24972
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发表时间:
2001-05-01
影响因子:
1.9
通讯作者:
Firrell, J
Firrell, J
中科院分区:
医学3区
文献类型:
--
作者:
Papanicolaou, GD;McCabe, SJ;Firrell, J

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这项横断面研究的目的是评估神经压迫症状的患病率和强度,并估计一般人群中腕管综合征(CTS)的患病率。向 1,559 人发送了一项调查,其中包括 Katz 手图、腕管仪器 (CTI) 和 Short Form-36 问卷。对 110 名未回应者进行了一项简短的电话调查,以确定他们是否与回应者存在系统性差异。在响应者中,35.1% 的症状严重程度(CTI 子量表)评分大于或等于 1.5。在有反应者和无反应者中,分别有 23.2% 和 14.5% 的人表示每晚至少醒来一次并感到麻木; 37.3% 的有反应者和 33.6% 的无反应者每天至少经历一次手部疼痛。根据 Katz 手图确定,58 名 (16.3%) 的响应者具有典型或可能的症状分布(可能患有 CTS),298 名 (83.7%) 的响应者具有可能和不可能的分布。在校正无反应者后,我们对美国普通人群中 CTS 患病率的最低估计为 3.72%,这表明有症状的人群比之前报道的要多。美国手外科学会版权所有 (C) 2001。
The purpose of this cross-sectional study was to evaluate the prevalence and intensity of nerve compression symptoms and to estimate the prevalence of carpal tunnel syndrome (CTS) in the general population. A survey that included the Katz hand diagram, the Carpal Tunnel Instrument (CTI), and the Short Form-36 questionnaire was sent to 1,559 people. A short telephone survey was conducted to a random sample of 110 nonresponders to determine if they were systematically different from the responders. Of the responders 35.1% had a symptom severity (CTI subscale) score of greater than or equal to1.5. Of the responders and the nonresponders 23.2% and 14.5%, respectively, reported waking at least once per night with numbness; 37.3% of the responders and 33.6% of the nonresponders experienced pain in the hand at least once per day. As determined by the Katz hand diagrams, 58 (16.3%) of the responders had classic or probable distributions of symptoms (likely to have CTS) and 298 (83.7%) had possible and unlikely distributions. After correcting for nonresponders our lowest possible estimate of CTS prevalence in the general US population is 3.72%, indicating a larger pool of symptomatic people than previously reported. Copyright (C) 2001 by the American Society for Surgery of the Hand.