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男人容易忽视腕管综合征
http://www.100md.com 2001年7月26日 家庭医生医疗保健网
     路透社纽约健康消息 在五月份的《流行病学》杂志上,意大利的研究人员报告说,因为男人往往忍受腕管综合征带来的疼痛,所以女性腕管综合征的病例似乎比男性多。

    意大利腕管综合征研究小组的L·帕多瓦博士指出,事实上,从事相同类型工作的男性和女性的数目是差不多的,但是被诊断为腕管综合征的男性比女性要少。因此,他们在1997年对740名患者进行了研究。他们发现,男人往往较少抱怨疼痛不适,感觉手部功能好。但是,神经功能评估显示,他们的损害比女性更为严重。男人可能仅仅在腕管综合征症状变得很严重时才去看医生。因此,许多不严重的病例就漏诊了。可以推测,男性腕管综合征的发病率是被低估了的。

    腕管综合征以手和腕关节的麻木和刺痛为特征,疼痛可扩散到肩部,它是由于在工作中或习惯地过度反复运动上肢所致。腕关节的肿胀压迫了通过腕部的一个“管道”从前臂向手延伸的神经。治疗方法包括:服用止痛药、用绷带悬吊腕部、关节内注射类固醇,以及外科手术释放腕管内压迫神经的韧带。
, 百拇医药
    来源:《流行病学》2001;12:369

    Men May Ignore Carpal Tunnel Symptoms

    NEW YORK (Reuters Health) - Men may be toughing out the pain caused by carpal tunnel syndrome, which could explain why more women report suffering from the condition, Italian researchers suggest in the May issue of the journal Epidemiology.

    Despite the fact that men and women seem to perform the same types of tasks in equal numbers, fewer men than women are diagnosed with carpal tunnel syndrome, Dr. L. Padua and colleagues from the Italian Carpal Tunnel Study Group explain.
, 百拇医药
    In a study of 740 patients conducted in 1997, men complained less of discomfort and had better hand function than women, but assessment of nerve function showed that the men actually had more severe impairment, the authors note.

    ``Men may seek medical attention only when carpal tunnel syndrome symptoms become severe; thus, less severe cases remain undiagnosed,‘‘ the researchers write.

    ``We postulate that the occurrence of carpal tunnel syndrome in the male population is underestimated,‘‘ Padua and colleagues conclude.
, 百拇医药
    Marked by numbness and tingling in the hand and wrist, and pain that can extend up to the shoulder, carpal tunnel syndrome is caused by work or hobbies that involve repetitive motions of the upper limbs. Swelling in the wrist compresses nerves that travel from the forearm to the hand through a ``tunnel‘‘ in the wrist. Treatment includes painkillers, braces, steroid injections into the joint, and surgery to ``release‘‘ the ligament that runs through the tunnel and puts pressure on nerves.

    SOURCE: Epidemiology 2001;12:369., 百拇医药