Morken Tone, Mehlum Ingrid Sivesind, Moen Bente E
Section for Occupational Medicine, Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway.
Occup Med (Lond). 2007 Mar;57(2):112-7. doi: 10.1093/occmed/kql154. Epub 2007 Jan 16.
Since 1992, physicians have reported work-related diseases among workers in Norway's offshore petroleum industry to the Petroleum Safety Authority, as required by law.
To analyse the number of reported work-related musculoskeletal disorders and risk factors (occupation and reported exposure) from 1992 to 2003.
Data from the Petroleum Safety Authority's registry of work-related diseases were analysed.
During the 12 years, 3131 new work-related musculoskeletal disorders were reported and this was the category of work-related disease most frequently reported (47%). The number of work-related musculoskeletal disorders varied substantially from year to year. Disorders of the upper limb accounted for 53% and back disorders for 20% of all work-related musculoskeletal disorders. Lower limb disorders accounted for 16%, of which knee disorders dominated (12% of all cases). The dominant occupational categories were maintenance work (40%) and catering (21%). Frequently reported types of exposure were high physical workload, repetitive work and walking on hard surfaces/climbing stairs and ladders.
Strategies for preventing musculoskeletal disorders should be carried out to reduce the burden of high physical workload and repetitive work, especially in maintenance work and catering. Further research is recommended on the association between walking on hard surfaces/climbing stairs and ladders and knee disorders. Reporting routines need to be improved to monitor trends over time and to assess the effects of interventions.
自1992年起，挪威法律要求医生向挪威石油安全管理局报告挪威近海石油工业工人的职业病。
分析1992年至2003年期间报告的与工作相关的肌肉骨骼疾病的数量以及风险因素（职业和报告的暴露情况）。
对挪威石油安全管理局职业病登记处的数据进行了分析。
在这12年期间，共报告了3131例新的与工作相关的肌肉骨骼疾病，这是报告最为频繁的职业病类别（占47%）。与工作相关的肌肉骨骼疾病数量每年变化很大。上肢疾病占所有与工作相关的肌肉骨骼疾病的53%，背部疾病占20%。下肢疾病占16%，其中膝部疾病占主导（占所有病例的12%）。主要职业类别是维修工作（占40%）和餐饮服务（占21%）。经常报告的暴露类型是高强度体力劳动、重复性工作以及在硬地面行走/爬楼梯和梯子。
应实施预防肌肉骨骼疾病的策略，以减轻高强度体力劳动和重复性工作的负担，尤其是在维修工作和餐饮服务中。建议进一步研究在硬地面行走/爬楼梯和梯子与膝部疾病之间的关联。需要改进报告程序，以监测长期趋势并评估干预措施的效果。
