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[上肢生物力学风险评估中4种方法应用的比较分析]

[Comparative analysis of the use of 4 methods in the evaluation of the biomechanical risk to the upper limb].

作者信息

Apostoli P, Sala E, Gullino A, Romano C

机构信息

Cattedra di Igiene Industriale Università degli Studi di Brescia, Italy.

出版信息

G Ital Med Lav Ergon. 2004 Jul-Sep;26(3):223-41.

Abstract

In the last years notices of Work Related Musculo-Skeletal Disorders are significantly increased, for a much widespread mechanism of disease and risk identification. About the last, the methods of assessment, even if in great number, are not universally recognized. This study reports the application of four methods (Check list OCRA, OREGE, Strain Index, ACGIH) to evaluate 12 work emplacements at a different biomechanical overload level. The comparison revealed variability between the methods in situations of middle risk, while the methods substantially gave similar results in situations without any risk or with high risk. Methods could not reveal every component of the risk in a reproducible and univocal way also when the risk assessment was accordant. It is necessary a following analytical evaluation of each risk factor contributing to define the sintetic index. In the complex of biomechanical risk factors these ones might not be considered able to define unequivocally "accettable" or "not accettable" components.

摘要

在过去几年中,与工作相关的肌肉骨骼疾病的报告显著增加,这是因为疾病和风险识别机制更为普遍。关于后者,评估方法虽然众多,但并未得到普遍认可。本研究报告了四种方法(OCRA检查表、OREGE、应变指数、美国政府工业卫生学家会议)在评估12个不同生物力学过载水平的工作场所中的应用。比较结果显示,在中等风险情况下,这些方法之间存在差异,而在无风险或高风险情况下,这些方法得出的结果基本相似。即使风险评估一致,这些方法也无法以可重复且明确的方式揭示风险的每个组成部分。有必要对每个有助于确定综合指数的风险因素进行后续分析评估。在生物力学风险因素的总体中,这些因素可能无法明确界定“可接受”或“不可接受”的组成部分。

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