Soldati O, Caini G, Taddei T, Colombini D, Ricci M G, Menoni O, Battevi N
Servizio del Medico Competente e Medicina Preventiva, Polo Ospedaliero Leno-Manerbio, BS.
Med Lav. 1999 Mar-Apr;90(2):244-55.
A total of 306 employees of the hospitals of the Leno/Manerbio health area underwent clinical and anamnestic examination in order to ascertain the existence of degenerative diseases of the spine associated with "manual handling of loads" risk. The prevalences obtained for positive anamnestic threshold concerning the lumbosacral spine, the trend of total acute low back pain and of low back pain in the last year showed lower values compared to the entire national group and in any case lower or only slightly above the values for the reference group of non-exposed subjects. Therefore, in order to assess the real prevalences of disorders due to incorrect load handling in hospital environments, it is important to assess the presence of associated disorders of the spine also and especially in outpatients departments. In fact, unsuitable or unfit staff had recently been transferred from the wards to outpatients departments. 56 workers from outpatients departments underwent physical-anamnestic examination: 16 workers (4.5% of the entire group under study) from average-to-high risk wards were identified as suffering from degenerative disorders of the lumbosacral spine. Therefore the prevalence of unfit subjects from hospital wards, cancelling the effect of the turnover factor on outpatients departments, led to an almost twofold total frequency, which rose from 6.9% to 11.4%.
莱诺/马内尔比奥健康区各医院的306名员工接受了临床和问诊检查，以确定是否存在与“手工搬运重物”风险相关的脊柱退行性疾病。就腰骶部脊柱而言，关于阳性问诊阈值的患病率、去年急性下背痛的总体趋势以及下背痛情况，与全国总体人群相比均较低，且无论如何都低于或仅略高于未接触者参考组的数值。因此，为了评估医院环境中因不正确搬运重物导致的疾病实际患病率，评估脊柱相关疾病的存在情况也很重要，特别是在门诊部门。事实上，近期不合适或不称职的员工已从病房调至门诊部门。56名门诊部门的工作人员接受了体格问诊检查：来自中高风险病房的16名工作人员（占整个研究组的4.5%）被确定患有腰骶部脊柱退行性疾病。因此，排除门诊部门人员流动因素的影响后，医院病房中不称职人员的患病率使总发病率几乎翻了一番，从6.9%升至11.4%。
