进行腹腔镜手术时的工作相关肌肉骨骼疾病。
Work-related musculoskeletal disorders when performing laparoscopic surgery.
作者信息
Stomberg Margareta Warrén, Tronstad Svein-Erik, Hedberg Karin, Bengtsson Jan, Jonsson Peter, Johansen Lars, Lindvall Birgitta
机构信息
University of Skövde, School of Life sciences, and Department of Obstetrics and Gynecology, Skaraborgs Hospital in Skövde, Skövde, Sweden.
出版信息
Surg Laparosc Endosc Percutan Tech. 2010 Feb;20(1):49-53. doi: 10.1097/SLE.0b013e3181cded54.
AIM
The aim of this study was to survey the occurrence of musculoskeletal disorders in the population of gynecologists and general surgeons performing laparoscopic surgery.
METHODS
A questionnaire was distributed to 558 general surgeons and gynecologists and 378 were answered (68%). Descriptive data analysis and statistical calculations were performed.
RESULTS
One or more disturbing symptoms were common among laparoscopists. More than 70% of the laparoscopists had one or more symptom. Pain was the most common symptom followed by fatigue and stiffness. Lower back, neck, and shoulders were most frequently affected. Headache and visual discomfort were also reported. Longer workload over time and ageing resulted in significantly more disorders (P<0.01). Female physicians had significantly more disorders (P<0.01).
CONCLUSIONS
This study revealed musculoskeletal disorders in a majority of laparoscopists. The laparoscopic technique often requires static and tiring work positions, sometimes extreme, which can explain musculoskeletal disorders among general surgeons and gynecologist.
目的
本研究旨在调查进行腹腔镜手术的妇科医生和普通外科医生群体中肌肉骨骼疾病的发生率。
方法
向558名普通外科医生和妇科医生发放了问卷，有378人进行了回复（回复率68%）。进行了描述性数据分析和统计计算。
结果
腹腔镜手术医生中一种或多种不适症状很常见。超过70%的腹腔镜手术医生有一种或多种症状。疼痛是最常见的症状，其次是疲劳和僵硬。下背部、颈部和肩部受影响最为频繁。也有头痛和视觉不适的报告。随着时间推移工作量增加以及年龄增长导致疾病显著增多（P<0.01）。女医生的疾病明显更多（P<0.01）。
结论
本研究揭示了大多数腹腔镜手术医生存在肌肉骨骼疾病。腹腔镜技术通常需要静态且累人的工作姿势，有时很极端，这可以解释普通外科医生和妇科医生中出现的肌肉骨骼疾病。
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