Roquelaure Yves, Ha Catherine, Nicolas Guillaume, Pélier-Cady Marie-Christine, Mariot Camille, Descatha Alexis, Leclerc Annette, Raimbeau Guy, Goldberg Marcel, Imbernon Ellen
Université d'Angers, Laboratoire d'Ergonomie et d'Epidémiologie en Santé au Travail, IFR 132, Centre Hospitalier Universitaire, Angers, France.
Arthritis Rheum. 2008 Sep 15;59(9):1341-8. doi: 10.1002/art.24002.
An epidemiologic surveillance network for carpal tunnel syndrome (CTS) was set up in the general population of a French region to assess the proportion of CTS cases attributable to work in high-risk industries and occupations.
Cases of CTS occurring among patients ages 20-59 years living in the Maine and Loire region were included prospectively from 2002 to 2004. Medical and occupation history was gathered by mailed questionnaire for 815 women and 320 men. Age-adjusted relative risks of CTS and the attributable risk fractions of CTS among exposed persons (AFEs) were computed in relation to industry sectors and occupation categories.
Twenty-one industry sectors and 8 occupational categories for women and 10 sectors and 6 occupational categories for men were characterized by a significant excess risk of CTS. High AFE values were observed in the manufacturing (42-93% for both sexes), construction (66% for men), and personal service industries (66% for women) and in the trade and commerce sectors (49% for women). High AFE values were observed in lower-grade white-collar occupations for women (43-67%) and blue-collar occupations for men (60-74%) and women (48-88%).
The attributable proportions of CTS cases among workers employed in industry sectors and occupation categories identified at high risk of CTS varied between 36% and 93%.
在法国某地区的普通人群中建立腕管综合征（CTS）的流行病学监测网络，以评估高危行业和职业中因工作导致的CTS病例比例。
前瞻性纳入2002年至2004年居住在曼恩-卢瓦尔地区年龄在20 - 59岁的CTS患者。通过邮寄问卷收集了815名女性和320名男性的医疗和职业史。计算了与行业部门和职业类别相关的CTS年龄调整相对风险以及暴露人群中CTS的归因风险分数（AFE）。
21个行业部门以及女性的8个职业类别和男性的10个行业部门及6个职业类别具有显著过高的CTS风险。在制造业（男女均为42 - 93%）、建筑业（男性为66%）、个人服务业（女性为66%）以及贸易和商业部门（女性为49%）观察到高AFE值。在女性的低级白领职业（43 - 67%）、男性的蓝领职业（60 - 74%）以及女性的蓝领职业（48 - 88%）中观察到高AFE值。
在确定为CTS高风险的行业部门和职业类别中工作的工人，CTS病例的归因比例在36%至93%之间。
