Assessment of sonographic measurement of the median nerve cross-sectional area in pregnant women with hypertensive disorders.

Autor: Oluklu, Deniz, Ayhan, Sule Goncu, Beser, Dilek Menekse, Hendem, Derya Uyan, Turgut, Ezgi, Ayhan, Egemen, Sahin, Dilek
Předmět:
Zdroj: Perinatal Journal; Apr2024, Vol. 32 Issue 1, p21-25, 5p
Abstrakt: Objective: To investigate the prevalence of carpal tunnel syndrome symptoms and assessed the median nerve cross-sectional area measurement by ultrasound in pregnant women in the second and third trimester with hypertensive disorders. Methods: This study presented four groups that were included in the cross-sectional study: one group of healthy pregnant women (control group) and three groups of pregnant women with hypertensive disorders (gestational hypertension, chronic hypertension, and preeclampsia). Results: Carpal tunnel syndrome symptoms such as hand numbness and hand pain were significantly higher in the hypertensive group than in the control group (p=.013, p= .002, respectively). We found that the right and left median nerves’ cross-sectional area was significantly higher in the hypertensive group than in the control group (p<.001). Also, participants had a positive low correlation and statistically significant difference between body mass index, gestational weight gain, and median nerve cross-sectional area (r= .347, p<.001; r=.414, p<.001). We showed excellent reliability for intraclass correlation coefficients of right and left median nerve cross-sectional area measurements (Intra observer Intraclass correlation coefficients= 0.926 and 0.955, respectively). Conclusion: Obstetricians should be aware of the increased prevalence of carpal tunnel syndrome in pregnant women with hypertensive disorders and increased carpal tunnel syndrome symptoms in the second and third trimesters. Because of its convenience and low cost, ultrasonography may be preferred for diagnosing carpal tunnel syndrome symptoms in pregnant women. In addition, pregnant women should be referred for early diagnosis and treatment of carpal tunnel syndrome. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index