O'Sullivan Sinead, Bridge Gary, Ponich Terry
Department of Medicine, University of Western Ontario, London, Ontario, Canada.
Can J Gastroenterol. 2002 Jun;16(6):369-74. doi: 10.1155/2002/523125.
There are few reports in the literature describing musculoskeletal complaints among endoscopists, and none are specific to those who perform endoscopic retrograde cholangiopancreatography (ERCP).
To examine the current practices of ERCP endoscopists and the prevalence of musculoskeletal injuries.
A self-report survey was sent to physicians practising ERCP across Canada identified through a pre-existing database. A second mailing was sent six weeks later to those who did not respond to the first mailing.
Of 162 surveys sent, 122 responses were received, with five respondents indicating that they no longer performed ERCP and three declining to participate. Of the 114 participants, 67% reported at least one musculoskeletal complaint, and 58% reported two or more complaints. Seventy-four per cent attributed their symptoms to endoscopy and/or ERCP, and 79% reported that their condition was aggravated by performing ERCP. The most frequently reported pain symptoms were back pain (57%), neck pain (46%) and hand pain (33%), which are all consistent with the physical risks involved in performing ERCP. Only 51% reported taking regular breaks, and only 25% reported having fluoroscopy tables with adjustable heights. The room designs of the respondents' ERCP facilities were analyzed for ergonomic considerations: 67% had poor ergonomics and 33% had good ergonomics. Sixty-four per cent reported that they were interested in learning preventive strategies.
Physicians who perform ERCP develop musculoskeletal injuries and are interested in learning about risk factor modification.
文献中很少有关于内镜医师肌肉骨骼问题的报道，且没有专门针对进行内镜逆行胰胆管造影术（ERCP）的医师的报道。
研究ERCP内镜医师的当前操作情况以及肌肉骨骼损伤的患病率。
通过一个现有的数据库，向加拿大各地从事ERCP的医师发送了一份自我报告调查问卷。六周后，向未回复第一次邮件的人发送了第二次邮件。
共发送了162份调查问卷，收到122份回复，其中5名受访者表示他们不再进行ERCP，3人拒绝参与。在114名参与者中，67%报告至少有一项肌肉骨骼问题，58%报告有两项或更多问题。74%将他们的症状归因于内镜检查和/或ERCP，79%报告他们的病情因进行ERCP而加重。最常报告的疼痛症状是背痛（57%）、颈部疼痛（46%）和手部疼痛（33%），这些都与进行ERCP所涉及的身体风险一致。只有51%的人报告定期休息，只有25%的人报告有高度可调节的透视台。对受访者的ERCP设施的房间设计进行了人体工程学方面的分析：67%的设施人体工程学较差，33%的设施人体工程学良好。64%的人报告说他们有兴趣学习预防策略。
进行ERCP的医师会出现肌肉骨骼损伤，并且有兴趣了解如何改变风险因素。
