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Clinical and Electrophysiological Changes after Local Steroid Injection in the Carpal Tunnel Syndrome

机译:腕管综合征中局部激素注射后的临床和电生理变化

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Background: Local steroid injection is used to treat carpal tunnel syndrome (CTS). The aim of this study was to evaluate the clinical and electrophysiological effects of local steroid injection in patients with CTS over a 3-months period. Methods: Twenty-one satients (35 hands) with clinical and electrophysiological evidence of CTS were treated by injection of triamcinolone 40 mg to the carpal tunnel. Visual analog scale (VAS), Boston Carpal Tunnel Questionnaire (BCTQ), rates of paresthesia, night awakening, and electrophysiological studies were used as outcomes. Clinical and electrophysiological assessments were performed before, 1 and 3 months after treatment. Results: Prior to treatment, 86% of patients complained of night awakening. At 1 and 3 months after injection, only 17% and 29% of the patients, respectively, had night awakening (p Conclusions: Local corticosteroid injection for the treatment of CTS provides significant improvement in symptoms for 3 months. On the other hand, no significant improvement was observed in electrophysiological parameters.
机译:背景:局部类固醇注射用于治疗腕管综合症(CTS)。这项研究的目的是评估在3个月内对CTS患者进行局部类固醇注射的临床和电生理效果。方法:向腕管注射40 mg曲安西龙,治疗21例(35手)具有临床和电生理学证据的CTS。视觉模拟量表(VAS),波士顿腕管问卷(BCTQ),感觉异常,夜间醒来和电生理研究被用作结果。在治疗前,治疗后1和3个月进行临床和电生理评估。结果:在治疗之前,有86%的患者抱怨夜间醒来。注射后1个月和3个月,分别只有17%和29%的患者有夜间醒来(p结论:局部皮质类固醇激素注射治疗CTS可使3个月症状明显改善。观察到电生理参数的显着改善。

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