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临床试验/PACTR202310697176998
PACTR202310697176998已完成Unknown

Comparative Study between Platelet-Rich Plasma, Corticosteroids and Perineural Dextrose local Injections for Treatment of Carpal Tunnel Syndrome

Ain Shams University Faculty of Medicine0 个研究点目标入组 60 人开始时间: 2023年10月10日最近更新:
适应症

试验速览

阶段
Unknown
状态
已完成
入组人数
60

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
19 Year(s) 至 44 Year(s)(—)
性别
All

入选标准

  • Patients included in the study were diagnosed with mild and moderate idiopathic carpal tunnel syndrome
  • With clinical symptoms for at least 3 months, and
  • According to the electrophysiological studies classification of carpal tunnel syndrome into mild, moderate as follows:
  • Prolonged distal motor latency( DML) but less than 150% of the highest normal value (5.4 ms);
  • Slowed sensory nerve conduction velocity (SNCV) but greater than 75% of the lowest normal value (30.1 m/s), Reduced compound muscle action potential (CMAP) or sensory nerve action potential (SNAP) amplitude but greater than 75% of the lowest normal value (CMAP: 3.9 mV, SNAP: 6.1 mV),
  • Mildly increased polyphasic waves or duration of motor units action potential (MUAPs) in electromyography (EMG) tests.
  • Moderate CTS:
  • Prolonged distal latencies at the range of 150% to 200% of the highest normal value (5.4–7.2 ms),
  • Slowed SNCV at the range of 50% to 75% of the lowest normal value (20–30 m/s),
  • Reduced CMAP or SNAP amplitude at the range of 50% to 75% of the lowest normal value (CMAP: 2.5–3.8 mV, SNAP: 4.0–6.0 mV)
  • Markedly increased polyphasic waves or duration of (MUAPs) in EMG tests.

排除标准

  • Patients with a history and symptoms consistent with:
  • Severe carpal tunnel syndrome (wasting of thenar muscles)
  • Cervical radiculopathy
  • Thoracic outlet syndrome
  • Brachial plexopathies
  • Secondary CTS e.g.:
  • Diabetes mellitus
  • Rheumatoid arthritis
  • Oral contraceptive pills intake
  • Fracture or dislocation of carpal bone
  • Patient on chemotherapy or radiotherapy or cardiac drugs
  • Peripheral median nerve trauma
  • Patients with carpal tunnel syndrome who underwent surgical operation
  • Patients with coagulation disorders, Seizure disorders and severe psychiatric illness
  • Renal and liver impairment
  • Skin diseases at site of injection.

研究者

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