Miyamoto M, Shirai Y, Nakayama Y, Gembun Y, Kaneda K
Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan.
J Nippon Med Sch. 2000 Jun;67(3):186-90. doi: 10.1272/jnms.67.186.
The factors in volved in occupational low back pain occurring in professional drivers were investigated epidemiologically with questionnaires (92 items) including low back symptoms, personal factors and occupational factors. The responses of one hundred fifty-three of one hundred eighty-one truck drivers who work in a large chemical industry corporation were analyzed after they had completely filled in questionnaires. As analysis of the results shows, the prevalence of LBP in one month of the survey was 50.3%. Correlating among data of personal factors and LBP, the prevalence of LBP was significantly higher in the drivers (Odd's ratio of 2.7) who answered "yes" to the item "shortage of spending time with family than in the drivers who didnt answer "yes. The occupational factors, working load and working environment showed no correlation with the prevalence of LBP. In contrast, 3 items of the working format related significantly to the prevalence of LBP: "irregular duty time (Odd's ratio of 3.0), "short resting time (2.4), and "long driving time in a day (2.0). Eighty-one of the 153 drivers (52.9%) pointed out the relationship between LBP and work, especially work which muolves vibration or road shock. Our results and the results from previous published studies suggested that vibration is an obvious risk factor for LBP. From the viewpoint of prophylaxis, an improvement in working conditions reduces the incidence of drivers' LBP to some extent.
通过包含腰痛症状、个人因素和职业因素的问卷(92项),对职业司机中发生的职业性腰痛相关因素进行了流行病学调查。对一家大型化工企业的181名卡车司机中的153名在完全填写问卷后的回答进行了分析。结果分析显示,调查当月腰痛的患病率为50.3%。在个人因素数据与腰痛之间进行相关性分析时,对“与家人相处时间不足”这一问题回答“是”的司机中腰痛的患病率显著更高(优势比为2.7),高于回答“否”的司机。职业因素、工作负荷和工作环境与腰痛患病率无相关性。相比之下,工作形式的3个项目与腰痛患病率显著相关:“非固定工作时间”(优势比为3.0)、“休息时间短”(2.4)和“一天中驾驶时间长”(2.0)。153名司机中有81名(52.9%)指出腰痛与工作有关,尤其是涉及振动或道路颠簸的工作。我们的结果以及先前发表的研究结果表明,振动是腰痛的一个明显风险因素。从预防的角度来看,改善工作条件在一定程度上降低了司机腰痛的发生率。