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妇科医生的肌肉骨骼疼痛。

Musculoskeletal pain in gynecologic surgeons.

机构信息

Division of Urogynecology, Department of Obstetrics and Gynecology, Mount Auburn Hospital, Cambridge, MA; Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, MA.

出版信息

J Minim Invasive Gynecol. 2013 Sep-Oct;20(5):656-60. doi: 10.1016/j.jmig.2013.04.013. Epub 2013 Jun 21.

Abstract

OBJECTIVE

To describe the prevalence of musculoskeletal pain and symptoms in gynecologic surgeons.

DESIGN

Prospective cross-sectional survey study (Canadian Task Force classification II-2).

SETTING

Virtual. All study participants were contacted and participated via electronic means.

PARTICIPANTS

Gynecologic surgeons.

INTERVENTIONS

An anonymous, web-based survey was distributed to gynecologic surgeons via electronic newsletters and direct E-mail.

MEASUREMENTS AND MAIN RESULTS

There were 495 respondents with complete data. When respondents were queried about their musculoskeletal symptoms in the past 12 months, they reported a high prevalence of lower back (75.6%) and neck (72.9%) pain and a slightly lower prevalence of shoulder (66.6%), upper back (61.6%), and wrist/hand (60.9%) pain. Many respondents believed that performing surgery caused or worsened the pain, ranging from 76.3% to 82.7% in these five anatomic regions. Women are at an approximately twofold risk of pain, with adjusted odds ratios (OR) of 1.88 (95% confidence interval [CI], 1.1-3.2; p = .02) in the lower back region, OR 2.6 (95% CI, 1.4-4.8; p = .002) in the upper back, and OR 2.9 (95% CI, 1.8-4.6; p = .001) in the wrist/hand region.

CONCLUSION

Musculoskeletal symptoms are highly prevalent among gynecologic surgeons. Female sex is associated with approximately twofold risk of reported pain in commonly assessed anatomic regions.

摘要

目的

描述妇科外科医生的肌肉骨骼疼痛和症状的患病率。

设计

前瞻性横断面调查研究(加拿大任务组分类 II-2)。

设置

虚拟。所有研究参与者均通过电子方式联系并参与。

参与者

妇科外科医生。

干预措施

通过电子通讯和直接电子邮件向妇科外科医生分发匿名的基于网络的调查。

测量和主要结果

有 495 名有完整数据的应答者。当询问应答者在过去 12 个月中的肌肉骨骼症状时,他们报告了下背部(75.6%)和颈部(72.9%)疼痛的高患病率,以及稍低的肩部(66.6%),上背部(61.6%)和手腕/手(60.9%)疼痛的患病率。许多应答者认为手术导致或加重了疼痛,在这五个解剖区域中,有 76.3%至 82.7%的人有此看法。女性疼痛的风险约为两倍,下背部的调整后优势比(OR)为 1.88(95%置信区间[CI],1.1-3.2;p =.02),上背部为 2.6(95%CI,1.4-4.8;p =.002),手腕/手区域为 2.9(95%CI,1.8-4.6;p =.001)。

结论

肌肉骨骼症状在妇科外科医生中非常普遍。女性性别与报告的疼痛在常见评估解剖区域中约两倍的风险相关。

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