KHẢO SÁT ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG, CÁC YẾU TỐ NGUY CƠ TRÊN BỆNH NHÂN HỘI CHỨNG ỐNG CỔ TAY TẠI BỆNH VIỆN ĐẠI HỌC VÕ TRƯỜNG TOẢN NĂM 2025

Abstract

Objectives (1) To describe the clinical and paraclinical characteristics of patients diagnosed with carpal tunnel syndrome (CTS) at Vo Truong Toan University Hospital in 2025.(2) To identify risk factors associated with the severity of CTS. Subjects and Methods: A cross-sectional descriptive study with analytical components was conducted on 90 patients diagnosed with CTS between January and June 2025. The entire sample was selected using a total population sampling method. Data were collected through direct interviews and medical record reviews, then analyzed using SPSS version 22.0. Results: Gender: Females accounted for the majority (83.3%), Age group: 78.9% were between 30 and 60 years old, Occupation: Manual laborers accounted for 74.4%, office workers 25.6%, Symptoms: Paresthesia (88.9%), nocturnal wrist pain (76.7%), hypoesthesia (37.8%), thenar muscle atrophy (16.7%), Clinical tests: Phalen test positive in 72.2%, Tinel in 63.3%, Durkan in 56.2%, Paraclinical findings: Ultrasound showed mild CSA in 41.1%, moderate in 35.6%, severe in 8.9%, and very severe in 14.4%, Associated risk factors: Manual labor (p = 0.017), low educational level (p = 0.102), and poor economic condition (p = 0.006) were associated with more severe CTS. Conclusion: CTS is more common in females of working age (30–60 years), especially among manual laborers with low socioeconomic status and limited educational attainment. Early screening and therapeutic ultrasound intervention are essential for timely management, particularly in high-risk groups.