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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >The Effect of Carpal Tunnel Release on Neuropathic Pain in Carpal Tunnel Syndrome
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The Effect of Carpal Tunnel Release on Neuropathic Pain in Carpal Tunnel Syndrome

机译：腕管释放对腕管综合征神经性疼痛的影响

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摘要

Purpose. Theaim of this study was to determine the risk factors of neuropathic pain (NP) in the patient with carpal tunnel syndrome (CTS) before and after the carpal tunnel release. Materials and Methods. One hundred and two CTS patients were enrolled in the study. The pain score was measured by the visual analogue score. NP was determined by the painDETECT (PD) questionnaire. All subjects were divided into 3 groups at 12 weeks after surgery: an Improved, Unchanged, and Worsened group. The risk factors of worsening NP after surgery were evaluated. Results. We found that 36% and 18% of patients with CTS had neuropathic pain before and 12 weeks after surgery, respectively, and pain was significantly stronger than in those without NP. The PD score of eight hands worsened after surgery. In the "Improved group," the average age at the surgery was younger and the pain score was lower than in the "Unchanged group." Conclusions. The surgery was very effective on NP of CTS; however, the PD in 7% of hands worsened after surgery. Risk factors before surgery that predicted worse NP after surgery were found to be a younger age, weaker pain, and the absence of night pain.
机译：目的。本研究的胫骨是在腕管释放之前和之后确定患者患者中神经病疼痛（NP）的危险因素。材料和方法。一百和两名CTS患者注册了该研究。疼痛评分是通过视觉模拟分数来衡量的。 NP由止痛药（PD）问卷确定。在手术后12周将所有受试者分为3组：改善，不变和恶化的组。评估了手术后恶化NP的危险因素。结果。我们发现，36％和18％的CTS患者在手术后和12周之前具有神经性疼痛，并且疼痛明显强于没有NP的痛苦。手术后八手的PD得分恶化。在“改进的群体”中，手术的平均年龄较小，疼痛评分低于“不变的群体”。结论。手术对CTS的NP非常有效;然而，在手术后7％的手中的PD在手术后恶化。手术前的危险因素预测在手术后较差的患者较年轻，疼痛较弱，疼痛较弱，患有夜间疼痛。

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