Dergiler / Endokrinolojide Yönelişler / 2004 / Cilt: 13 - Sayı: 1

Tip 2 diabetlilerde semptomatik Karpal Tünel Sendromu sıklığı

Prevalence of symptomatic Carpal Tunnel syndrome in type 2 diabetics

Sayfa
15–17
Yayın Tarihi
2022-10-17
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bulgular: Çalışmayı tamamlayan 835 hastanın [327 (%39.2) erkek, 508 (%60.8)'si kadın] yaş ortalamasi 55.59 (30-76) yil ve Diabet süresi 11,3 ± 5.4 yil idi.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Amac: Karpal tunel sendromu (KTS) en sik gorulen tu-zak noropatilerdendir.
📊
Temel Bulgular & Veri:Diabetlilerde normal populasyo-na gore KTS daha sik gorulmektedir, ancak sikhgi degi-sik calismalara gore farklilik gostermektedir.
💡
Sonuç & Katkı:Bulgular: Çalışmayı tamamlayan 835 hastanın [327 (%39.2) erkek, 508 (%60.8)'si kadın] yaş ortalamasi 55.59 (30-76) yil ve Diabet süresi 11,3 ± 5.4 yil idi.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:882 hasta
⚙️Değişkenler:Alan Parametreleri

Özet

Amac: Karpal tunel sendromu (KTS) en sik gorulen tu-zak noropatilerdendir. Diabetlilerde normal populasyo-na gore KTS daha sik gorulmektedir, ancak sikhgi degi-sik calismalara gore farklilik gostermektedir. Bu çalışmada, Tip 2 Diabetlilerde semptomatik KTS prevalansini ve bununla iliskili durumlan arastirmayi amacladik. Gerec ve Yontem: Çalışmaya hastanemiz Diabet Ünitesine basvuran ve Tip 2 Diabet tanisi konmus ardışık 882 hasta alindi. KTS'a neden olabilecek diğer hastalığı olanlar çalışma dışına alindi. Vakalar KTS semptomları açısından sorgulandi ve provakatif testlerle tani kondu. EMG ile tani desteklendi. Bulgular: Çalışmayı tamamlayan 835 hastanın [327 (%39.2) erkek, 508 (%60.8)'si kadın] yaş ortalamasi 55.59 (30-76) yil ve Diabet süresi 11,3 ± 5.4 yil idi. Vakaların 73 (%8.7)'unde genel olarak KTS semptom ve bulgularma rastlandi. EMG yapılan hastaların (%89.0)'inde nöropati zemininde veya nöropatisiz KTS tanisi kondu. EMG yapilan hastalardan 7 (%8.2) tanesinde polinoropati varken, 1 (%1.4) hastada EMG normal sinirlardaydi. Sonuc: Çalışmamızda Diabetlilerde saptanan semptomatik KTS sıklığı literatürle uyumlu bulundu. Ayrica KTS'nin kadınlarda daha sik görüldüğü ve Diabet süresi ile ilişkili oldugu tespit edildi.

Abstract

Carpal Tunnel Syndrome (CTS) is one of the frequently seen trap neuropathy. CTS is more common in diabetics than the normal population. The prevalence of CTS in diabetics was changed according to the different studies. In this study, our aim is to study symptomatic CTS prevalence in diabetics and related conditions with this. Material-Method: 882 patients who were consecutively admitted to the'diabetes outpatient clinic were enrolled in the study. Patients who had other disease that can be a cause of CTS were dropped out. Patients were asked for CTS symptoms and diagnosed with provocative tests. Diagnosis of CTS was confirmed with EMG. Results: The mean age and diabetes duration of the 835 patients [327 (39.2%) male, 508 (60.8%) female] who were completed the study were 55.5 (30-76) years and 11.3 ± 5.4 years. CTS symptoms were found in 73 (%8.7) of patients. 65 (89%) of patients who were performed EMG, were diagnosed as CTS with or with neuropathy. Polyneuropathy was found in 7 (8.2%) patients with EMG. EMG results were normal in 1 (1.4%) patient. Conclusion: In our study, the prevalence of symptomatic CTS among type 2 diabetics, was in concordance with literature. Furthermore, we found CTS is more frequent in females and related with diabetes duration.

🔖

Bu Makaleye Atıf Yap

BULUT, G., GÖZÜ, H., SARGIN, H., YAYLA, A., BÖRÜ, T. Ü., LÜLECİ, A., ALP, R., KOÇER, A., SARGIN, M. (2022). Tip 2 diabetlilerde semptomatik Karpal Tünel Sendromu sıklığı. Endokrinolojide Yönelişler, Cilt: 13 - Sayı: 1, 15–17. https://ajindex.com/articles/500858

Kaynakça (15)

  1. Levin DW, Simmons BP, Koris MJ, Daltrov MH, Hohl GG, Fossel AH, Kattz JN. A self administrated questionaire for assessment of severity and symptoms and fonctional status in carpal tunel syndrome. J Bone and Joint Surg(Am) 1993; 75: 1585-92
  2. Phalen GS. The carpal tunnel syndrome: seventeen years experience in diagnosis and treatment of six hundred fifty-four hands. J Bone Joint Surg. 1966; 48A: 211-28
  3. Özer F. Diabetik nöıopati. In; Yenigün M, Altuntaş Y (eds): Her yönüyle diabetes meliitus 2. baskı. Nobel, İstanbul 2001;417-65
  4. Dyck PJ, Kraktz KM, Karnes JL, et al. The prevelance by staged severity of various types of diabetic neuropathy in a population-based cohort: The Rocester Diabetic Neuropathy Studv. Neurology, 1993; 43: 817
  5. Chammas M, Bousquet P, Renard E, et al. Dupuytren's disease, carpal tunnel syndrome, trigger finger, and diabetes meliitus. J. Hand Surg. 1995; 20A: 109-14
  6. Porras Dudley AT, Alaminos Kojo P, Vinulales J.I, Vıllamanan M,A. Value of electrodiagnostic tests in carpal tunnel syndrome. Journal of Hand surgery (British and European Volume) 2000; 25 B:4: 361-65
  7. Nathan PA, Keniston RC. Carpal tunnel syndrome and its relation to general physical condition. Hand Clin 1993; 75: 1585-92
  8. Heecheon Y, Zacaary S, Andrıs E, Mılınd JKD, Sanjıv HN. Relationship between symptom severity scales and nerve conduction measures in carpal tünel syndrome. Muscle & Nerve 1999; 22: 497-501
  9. Pratical parameter for carpal tunnel syndrome (spesial artical). Neurology 1993; 43: 2406-09
  10. Çelik M. Diabetik tuzak nöropatileri. I. Ulusal diabetik nöropati sempozyumu kitabı. Ulusa! diabetik nöropati sempozyumu düzenleme komitesi, Mersin 2002: 75-7H
  11. Mondelli M, Giannini E, Giacchi M. Carpal tunnel syndrome incidence in a general population. Neurology 2002; 58: 289-94
  12. Stevens J.C, Sun S, Beard C.M, O'Fallon W.M, Kurland L.T. Carpal tunnel syndrome in Rochester, Minesota, 1961-1980. Neurology 1988; 38: 134-38
  13. Palumbo PJ, Elveback LR, WhisnantJP: Neurologic complications of diabetes meliitus: Transiet ischemic attack, stroke, and peripheral neuropathy. Adv Neurol 1978; 19: 593-601
  14. Dyck PJ, Thomas PK. Diabetic entrapment and compression neuropathy. In Diabetic Neuropathy 2nd edition. W.B. Saunders Company. Tokyo. 1999. 492-93 15. DE Krom M.C.T.F, Kester A.D.M, Knipschtld P.G, Spaans F. Risk Fac¬tors for carpal tunnel syndrome. American Journal of epidemiology, 1990; 132: 6: 1102-10
  15. Karpitskaya Y, Novak CB, Mackin