单手或双手麻木感是指您的手或手指失去感觉。手麻木往往伴随其他变化,比如针扎感、灼热感或刺痛感。您可能感觉手臂、手或手指笨拙或无力。
麻木感可能沿着单手或双手的某一条神经发生。
手麻木可能由手臂和手腕的一条神经或神经分支受到损伤、刺激或压迫所致。
糖尿病等影响周围神经的疾病也可能引起麻木感,但糖尿病引起的麻木感往往首先出现在足部。
在极少数情况下,麻木感可能由脑或脊髓问题引起。当这种情况发生时,还会出现手臂或手无力或丧失功能。麻木感本身通常与卒中或肿瘤等可能带来危险的疾病无关。
医生需要关于您症状的详细信息,以诊断您出现麻木感的原因。在开始治疗之前,可能需要各种检查来确认原因。
单手或双手出现麻木感的可能原因包括:
确定手部麻木感的原因很重要。如果麻木感持续存在或扩散到身体其他部位,请咨询医务人员。
手部麻木感的治疗取决于病因。
如果您的麻木感属于下列情况,请拨打 911 或寻求紧急医疗救助:
突然发生,尤其是当您伴有虚弱或瘫痪、意识模糊、说话困难、头晕或突发的重度头痛时。
如果您的麻木感属于下列情况,请安排就医:
- 开始或逐渐加重并持续。
- 扩散到身体其他部位。
- 影响身体两侧。
- 反复出现。
- 似乎与某些任务或活动有关,尤其是重复动作。
- 只影响手的一部分,比如只有手指感觉麻木。
显示参考文献
- Numbness. Merck Manual Professional Version. https://www.merckmanuals.com/professional/neurologic-disorders/symptoms-of-neurologic-disorders/numbness#. Accessed March 30, 2023.
- Stroke. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/health-information/disorders/stroke#. Accessed March 30, 2023.
- Signs and symptoms of adult brain and spinal cord tumors. American Cancer Society. https://www.cancer.org/cancer/brain-spinal-cord-tumors-adults/detection-diagnosis-staging/signs-and-symptoms.html. Accessed March 30, 2023.
- De Keyser F. Ganglion cysts of the wrist and hand. https://www.uptodate.com/contents/search. Accessed March 30, 2023.
- Ferri FF. Ferri's Clinical Advisor 2023. Elsevier; 2023. https://www.clinicalkey.com. Accessed March 30, 2023.
- Numbness or tingling. National Multiple Sclerosis Society. http://www.nationalmssociety.org/Symptoms-Diagnosis/MS-Symptoms/Numbness. Accessed March 30, 2023.
- Neuropathy. American Diabetes Association. https://diabetes.org/diabetes/neuropathy. Accessed March 30, 2023.
- Raynaud's phenomenon. American College of Rheumatology. https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Raynauds-Phenomenon. Accessed March 30, 2023.
- Cervical spondylosis (arthritis of the neck). American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/cervical-spondylosis-arthritis-of-the-neck. Accessed March 30, 2023.
- Ganglion (cyst) of the wrist. American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/ganglion-cyst-of-the-wrist-and-hand. Accessed March 30, 2023.
- Levin K. Cervical spondylitic myelopathy. https://www.uptodate.com/contents/search. Accessed March 30, 2023.
- Brachial plexus injury. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/health-information/disorders/brachial-plexus-injury. Accessed March 30, 2023.
- Jankovic J, et al., eds. Disorders of peripheral nerves. In: Bradley and Daroff's Neurology in Clinical Practice. 8th ed. Elsevier; 2022. https://www.clinicalkey.com. Accessed March 30, 2023.
- Briemberg HR, et al. Approach to the patient with sensory loss. https://www.uptodate.com/contents/search. Accessed March 30, 2023.
Sept. 09, 2023Original article: https://www.mayoclinic.org/zh-hans/symptoms/numbness-in-hands/basics/definition/sym-20050842