懷孕期間發生之腕隧道症候群─腕徑比例與身體質量比數之角色
Date Issued
1999
Date
1999
Author(s)
張楊全
DOI
882314B002280
Abstract
Carpal tunnel syndrome (CTS) is closely associated with pregnancy. The pathophysiology of CTS in pregnancy is controversial. It has been attributed to redistribution of fluids, hormonal changes, tenosynovitis and vulnerability of nerves. There are also evidences that personal factors, such as wrist ratio and body mass index (BMI), are positively correlated with the development of CTS irrespective of patients¡¦ occupation or illness. The onset of carnal tunnel syndrome during pregnancy occurs most frequently during the third trimester, when weight and total blood volume are typically maximal. It is thought that the changes in wrist ratio and BMI in pregnancy are obvious, and may be correlated with the development of CTS. We prospectively collect 66 pregnant women, to evaluate at the third trimester and three months after delivery. The evaluation includes clinical profiles, wrist ratio, BMI and nerve conduction studies. There were 24 women having electrodiagnostic findings of CTS, which are correlated with clinical symptoms of CTS. There was no statistic significance between the two groups in terms of BMI, weight-gain, wrist ratio, and edema. However, significant changes did exist between the findings of nerve conduction studies before and after delivery. The development of CTS in pregnancy is related to the changes of body mass or wrist ratio in the same individual. Further investigation is necessary.
Subjects
carpal tunnel syndrome
median nerve
pregnancy
nerve conduction study
wrist ratio
body mass index
Publisher
臺北市：國立臺灣大學醫學院神經科
Type
journal article
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