Department of Public Health, Ege University Medical School, Bornova, Izmir, Turkey.
Am J Ind Med. 2012 May;55(5):465-73. doi: 10.1002/ajim.22016. Epub 2012 Feb 14.
The aim of this study was to define the risk factors for occupational hand injuries and explore the relationship between the machines and the fingers injured, based on the records of a hospital in Turkey specialized in hand and microsurgery.
Five thousand twenty seven occupational hand injuries treated at a hand and microsurgery hospital between 1992 and 2005 were included in the study. All the injuries were retrospectively recoded according to ICD-10, (ICECI) and ILO recommendations. Logistic regression and chi-square for trend analysis were used to evaluate the risk factors for occupational injuries.
The most frequent injuries were traumatic amputation of wrist and hand (53.2%), open wound of wrist and hand (46.3%). Considering all injuries, 60.9% of agricultural machines, 52.7% of metal working machines, 54.7% of transmission machinery, and 42.8% of wood and assimilated machines affected the right hand. Powered wood cutters, presses, planning and milling machines, and machine belts were the most frequent five machines involved in injuries, each having a different finger pattern. The proportion of machinery among all hand injuries was significantly decreasing with time.
A stricter and more frequent supervision of the use of protective equipment and prohibition of the purchase of machinery not complying with the regulations could contribute to the prevention of hand injuries.
本研究旨在根据土耳其一家手部和显微外科医院的记录，确定职业性手部损伤的危险因素，并探讨机器与受伤手指之间的关系。
研究纳入了 1992 年至 2005 年期间在一家手部和显微外科医院治疗的 5027 例职业性手部损伤。所有损伤均根据 ICD-10、（ICECI）和 ILO 建议进行回顾性重新编码。使用逻辑回归和趋势卡方检验评估职业损伤的危险因素。
最常见的损伤是腕部和手部的创伤性切断（53.2%）和开放性腕部和手部损伤（46.3%）。考虑到所有损伤，60.9%的农业机器、52.7%的金属加工机器、54.7%的传动机械和 42.8%的木材和类似机器影响右手。动力木工锯、压力机、刨床和铣床以及机器皮带是最常涉及受伤的五种机器，每种机器都有不同的手指模式。随着时间的推移，机器在所有手部损伤中的比例明显下降。
更严格和更频繁地监督防护设备的使用以及禁止购买不符合规定的机器，可以有助于预防手部损伤。
