Objective To investigate the effects of vitamin D supplementation on patients with carpal tunnel syndrome(CTS)with vitamin D deficiency. Methods Using a prospective study method,42 mild and moderate CTS patients with vitamin D deficiency(serum 25 hydroxyvitamin D<20ng/mL)were selected and randomly divided into the observation group(21 cases)and the control group(21 cases)from March 2015 to January 2018. The control group was treated with CST routine treatment,while the observation group was additionally treated with vitamin D deficiency on the basis of routine treatment in the control group. The clinical efficacy of the two groups after treatment,and the symptom and disability score of the two groups before and after treatment were compared. Results The total effective rate of the observation group was 97.67%,which was significantly higher than 81.40% of the control group(P<0.05). After treatment,the symptoms and functional scores of the two groups decreased significantly,but the decrease in the observation group was more significant(P<0.05). Conclusion Vitamin D supplementation treatment on mild to moderate CTS with vitamin D deficiency can further improve the clinical efficacy and relieve the patient's symptoms and dysfunction.%目的 探讨补充维生素D 对伴有维生素D 缺乏的腕管综合征(CTS)患者疗效的影响.方法 采用前瞻性研究方法,选取 2015年3月至2018年1月本院收治的42例伴有维生素D 缺乏(血清25羟维生素D水平<20ng/ml)的轻度、中度 CTS 患者为研究对象,将其按照随机数字表法随机分为观察组(21例)和对照组(21例).对照组应用CST常规治疗方案,观察组在对照组常规治疗的基础上增加针对维生素D缺乏的药物治疗.比较治疗后两组的临床疗效,以及治疗前、后两组患者的症状及功能障碍评分.结果 观察组的临床总有效率为97.67%,明显高于对照组的81.40%(P<0.05).治疗后,两组患者的症状及功能评分均发生了明显下降,但观察组下降更加明显(P<0.05).结论 补充维生素D可提高伴有维生素D缺乏的CST患者的临床疗效,并明显改善患者症状和功能障碍.
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