Hjøllund N H, Bonde J P
Arbejdsmedicinsk klinik, Arhus Kommunehospital.
Ugeskr Laeger. 1992 Oct 19;154(43):2968-74.
The carpal tunnel syndrome is the most commonly reported nerve entrapment syndrome. While a number of medical risk factors are wellknown, accounting for approximately 25% af the cases, the significance of repetitive occupational hand strain has been disputed during several decades. Recently, a number of controlled epidemiological studies concerning this issue have emerged. A critical review arrives at the conclusion that jobs requiring highly repetitive and forceful sustained hand activity are associated with an increased risk for the carpal tunnel syndrome. The risk is, in particular, high when both risk factors are involved concomitantly. Exposure to hand-arm vibration also increases the risk, but it is undecided whether vibration per se or the associated ergonomic strain is the causal factor. It is argued that the evidence is sufficient to justify worker compensation and action should be taken to prevent this work-related disorder.
腕管综合征是最常被报告的神经卡压综合征。虽然一些医学风险因素广为人知，约占病例的25%，但重复性职业手部劳损的重要性在几十年间一直存在争议。最近，出现了一些关于这个问题的对照流行病学研究。一项批判性综述得出结论，需要高度重复且用力持续手部活动的工作与腕管综合征风险增加有关。特别是当两种风险因素同时存在时，风险很高。接触手臂振动也会增加风险，但尚不确定是振动本身还是相关的人体工程学压力是致病因素。有人认为，现有证据足以证明应给予工人赔偿，并且应采取行动预防这种与工作相关的疾病。
