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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Treatment of worker's compensation cases of carpal tunnel syndrome: an outcome study.
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Treatment of worker's compensation cases of carpal tunnel syndrome: an outcome study.

机译：腕管综合症工人补偿案的治疗：一项结局研究。

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摘要

The primary goal of this retrospective study was to determine the most effective treatment protocol to return worker's compensation patients with carpal tunnel syndrome (CTS) to their original jobs. By examining a homogeneous subject pool and using specific, functional outcome measures determined by what is needed to reduce worker's compensation costs, a treatment protocol could be developed benefiting both the employer and employee. A total of 121 charts of worker's compensation patients with diagnoses of work-related CTS were reviewed. For inclusion in the study, patients could have no other upper extremity disorder, they must have completed treatment for the CTS, and the etiology of their CTS could not be traumatic. A total of 58 patients were included. Those who received conservative treatment followed by surgery (n = 27) were compared with those who were treated with surgery only (n = 31). A chi-square test showed a significant relationship between type of treatment and return to work (chi2(1)=4.065; p=0.044). Of the 31 patients who received only surgical treatment, 83.9% returned to original employment. Of the 27 patients who received both conservative and surgical treatment, 59.1% returned to their original employment. While this is a small sample size, the findings suggest that conservative treatment alone is not effective in returning worker's compensation patients with CTS to work.
机译：这项回顾性研究的主要目标是确定最有效的治疗方案，以使患有腕管综合症（CTS）的工人补偿患者重返原先的工作。通过检查同质的受试者库并使用由减少工人补偿成本所需的措施确定的具体功能性结果指标，可以制定出使雇主和雇员都受益的治疗方案。共检查了121张诊断为与工作相关的CTS的工人补偿患者图表。为纳入研究，患者不能有其他上肢疾病，必须完成CTS的治疗，并且CTS的病因不会受到创伤。总共包括58位患者。将接受保守治疗并接受手术治疗的患者（n = 27）与仅接受手术治疗的患者（n = 31）进行比较。卡方检验显示治疗类型与恢复工作之间存在显着关系（chi2（1）= 4.065; p = 0.044）。在仅接受手术治疗的31名患者中，有83.9％恢复了原来的工作。在接受保守治疗和手术治疗的27例患者中，有59.1％恢复了原来的工作。虽然这是一个很小的样本量，但研究结果表明，仅保守治疗不能有效地使CTS的工伤补偿患者重返工作岗位。

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