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曼苏拉市电信公司工人的颈部-上肢肌肉骨骼疾病。

Neck-upper extremity musculoskeletal disorders among workers in the telecommunications company at Mansoura City.

机构信息

Faculty of Medicine, Mansoura University, Mansoura, Egypt.

出版信息

Int J Occup Saf Ergon. 2011;17(2):195-205. doi: 10.1080/10803548.2011.11076879.

Abstract

OBJECTIVES

This study was to determine the prevalence and work-related risk factors of neck-upper extremity musculoskeletal disorders (MSDs) among video display terminal (VDT) users.

METHODS

A comparative cross-sectional study was conducted; there were 60 VDT users and 35 controls. The participants filled in a structured questionnaire, had electrophysiological tests and an X-ray of the neck.

RESULTS

The prevalence of MSDs was higher (28.3%) among VDTs users compared to controls (14.3%) with no statistically significant difference. The prevalence of cervical disorders with or without radiculopathy (18.3%) was the most common disorder followed by carpal tunnel syndrome (6.6%). The mean (SD) age of MSD cases (51 ± 7.2 years) was statistically significantly higher than of the controls (42.8 ± 9). Physical exposure to prolonged static posture (OR: 6.9; 95% CI: 0.83-57.9), awkward posture (OR: 5.5; 95% CI: 0.6-46.4) and repetitive movements (OR: 5.5; 95% CI: 0.65-46.4) increased risk of MSDs with a statistically significant difference for static posture only (p < .05). VDT users experienced more job dissatisfaction, work-overload and limited social support from supervisors and colleagues.

CONCLUSION

VDT use did not increase the risk of neck-upper extremity MSDs. The risk increased with older age and static posture.

摘要

目的

本研究旨在确定视屏显示终端(VDT)使用者中颈部和上肢肌肉骨骼疾病(MSD)的流行率及其与工作相关的危险因素。

方法

采用了一项对比性的横断面研究,共有 60 名 VDT 使用者和 35 名对照者参与。参与者填写了一份结构式问卷,进行了电生理测试和颈部 X 光检查。

结果

VDT 使用者的 MSD 患病率(28.3%)高于对照者(14.3%),但无统计学显著性差异。患有或不伴有神经根病的颈椎疾病(18.3%)是最常见的疾病,其次是腕管综合征(6.6%)。MSD 病例的平均(SD)年龄(51 ± 7.2 岁)明显高于对照组(42.8 ± 9 岁)。长时间保持静态姿势(OR:6.9;95% CI:0.83-57.9)、姿势别扭(OR:5.5;95% CI:0.6-46.4)和重复性动作(OR:5.5;95% CI:0.65-46.4)等身体暴露因素会增加 MSD 的风险,其中只有静态姿势具有统计学显著性差异(p <.05)。VDT 用户经历了更多的工作不满、工作过载以及来自主管和同事的有限社会支持。

结论

VDT 使用并未增加颈部和上肢 MSD 的风险。风险随着年龄的增长和静态姿势而增加。

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