{"id":20442,"date":"2002-10-12T00:00:00","date_gmt":"2002-10-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/infiltracion-local-de-corticoides-frente-a-descompresion-quirurgica-en-el-sindrome-del-tunel-del-carpo-un-ensayo-cla%c2%adnico-prospectivo-controlado-y-aleatorizado\/"},"modified":"2002-10-12T00:00:00","modified_gmt":"2002-10-12T00:00:00","slug":"infiltracion-local-de-corticoides-frente-a-descompresion-quirurgica-en-el-sindrome-del-tunel-del-carpo-un-ensayo-cla%c2%adnico-prospectivo-controlado-y-aleatorizado","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/infiltracion-local-de-corticoides-frente-a-descompresion-quirurgica-en-el-sindrome-del-tunel-del-carpo-un-ensayo-cla%c2%adnico-prospectivo-controlado-y-aleatorizado\/","title":{"rendered":"Infiltraci\u00f3n local de corticoides frente a descompresi\u00f3n quir\u00fargica en el sindrome del t\u00fanel del carpo. un ensayo cl\u00ednico, prospectivo, controlado y aleatorizado"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Domingo Ly Pen <\/strong><\/h2>\n<p>Fundamentos  el tratamiento \u00f3ptimo del s\u00edndrome del t\u00fanel del carpo (=stc) no est\u00e1 establecido.  objetivo  evaluar de modo prospectivo y aleatorizado qu\u00e9 tratamiento es m\u00e1s eficaz en el tratamiento del stc cl\u00ednicamente no complicado: si las infiltraciones locales de corticoides o la cirug\u00eda descompresora del t\u00fanel del carpo.  pacientes y m\u00e9todos  estudiamos 163 mu\u00f1ecas con diagn\u00f3stico cl\u00ednico y neurofisiol\u00f3gico de stc, en un ensayo cl\u00ednico prospectivo, controlado y aleatorizado, con seguimiento hasta un a\u00f1o. Los carpos fueron aleatorizados para recibir infiltraci\u00f3n local o cirug\u00eda descompresora del t\u00fanel del carpo. Se realiz\u00f3 seguimiento a 3, 6 y 12 meses. La variable de desenlace principal fue el porcentaje de mu\u00f1ecas en alcanzar al menos un 20% de reducci\u00f3n de los s\u00edntomas en la escala visual anal\u00f3gica de parestesias nocturnas (=eva-pn) en la evoluci\u00f3n a los 3 meses. Los an\u00e1lisis fueron realizados en base de intenci\u00f3n de tratar. se consider\u00f3 una p&lt;0.05 fue considerada significativa. Para establecer la significaci\u00f3n estad\u00edstica se utilizaron la t de student para variables continuas, x2 para variables categ\u00f3ricas, la u de mann-whitney y el test de wilcoxon. El comit\u00e9 de ensayos cl\u00ednicos y \u00e9tica del centro aprob\u00f3 el ensayo. Todos los pacientes firmaron consentimiento informado.  resultados  iniciaron el estudio 163 mu\u00f1ecas pertenecientes a 101 pacientes. Edad media de 51.57 a\u00f1os (d.S. 13.93 a.). Tiempo de evoluci\u00f3n de los s\u00edntomas de 32.71 semanas (d.S. 58 s.). Ambos grupos de tratamiento ten\u00edan las mismas caracter\u00edsticas cl\u00ednicas y neurofisiol\u00f3gicas.  80 mu\u00f1ecas fueron asignadas a cirug\u00eda y 83 mu\u00f1ecas a infiltraci\u00f3n. En un an\u00e1lisis de intenci\u00f3n de tratar, a los 3 meses de seguimiento 94% de las mu\u00f1ecas del grupo infiltraci\u00f3n y el 75% del grupo cirug\u00eda alcanzaron la respuesta del 20% en la eva-pn (p=0.001). A los 6 y 12 meses, el porcentaje de respondedores fue de 85,5% frente<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Infiltraci\u00f3n local de corticoides frente a descompresi\u00f3n quir\u00fargica en el sindrome del t\u00fanel del carpo. un ensayo cl\u00ednico, prospectivo, controlado y aleatorizado<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Infiltraci\u00f3n local de corticoides frente a descompresi\u00f3n quir\u00fargica en el sindrome del t\u00fanel del carpo. un ensayo cl\u00ednico, prospectivo, controlado y aleatorizado <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Domingo Ly Pen <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/12\/2002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li> Andreu S\u00e1nchez Jos\u00e9 Luis<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ramon Perez maeztu <\/li>\n<li>Luis Manzano espinosa (vocal)<\/li>\n<li>Luis Carre\u00f1o p\u00e9rez (vocal)<\/li>\n<li> Gonz\u00e1lez ruiz Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Domingo Ly Pen Fundamentos el tratamiento \u00f3ptimo del s\u00edndrome del t\u00fanel del carpo (=stc) no est\u00e1 establecido. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[62213,62212,62214,31777,31857,23856],"class_list":["post-20442","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-andreu-sanchez-jose-luis","tag-domingo-ly-pen","tag-gonzalez-ruiz-jose-maria","tag-luis-carreno-perez","tag-luis-manzano-espinosa","tag-ramon-perez-maeztu"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/20442","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=20442"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/20442\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=20442"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=20442"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=20442"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}